Dr Gregory Broderick-villa, MD - Medicare General Surgery in Oakland, CA

Dr Gregory Broderick-villa, MD is a medicare enrolled "Surgery" physician in Oakland, California. He went to Tufts University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 365 Hawthorne Ave, 101, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 465-5523.

Dr Gregory Broderick-villa is licensed to practice in California (license number A82944) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376571562.

Contact Information

Dr Gregory Broderick-villa, MD
365 Hawthorne Ave, 101,
Oakland, CA 94609-3107
(510) 465-5523
Not Available

Map and Direction




Physician's Profile

Full NameDr Gregory Broderick-villa
GenderMale
SpecialityGeneral Surgery
Experience23 Years
Location365 Hawthorne Ave, Oakland, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gregory Broderick-villa attended and graduated from Tufts University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1376571562
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668475229
  • Enrollment ID: I20060821000328

Medical Identifiers

Medical identifiers for Dr Gregory Broderick-villa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376571562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A82944 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - Walnut CreekWalnut creek, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gregory Broderick-villa allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameEpic Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780107797
PECOS PAC ID: 5890053094
Enrollment ID: O20171215002809

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory Broderick-villa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gregory Broderick-villa, MD
2345 Country Hills Dr,
Antioch, CA 94509-7319

Ph: (925) 418-0278
Dr Gregory Broderick-villa, MD
365 Hawthorne Ave, 101,
Oakland, CA 94609-3107

Ph: (510) 465-5523

Reviews and Comments


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Collin A Mbanugo, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.