Dr Jeffery Wayne Van Den Broek, DO | |
10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 | |
(410) 992-9797 | |
(410) 730-0942 |
Full Name | Dr Jeffery Wayne Van Den Broek |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 24 Years |
Location | 10710 Charter Dr, Columbia, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033180187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | DOS-945 (Hawaii) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | H0075616 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Frederick Health Hospital | Frederick, MD | Hospital |
Howard County General Hospital | Columbia, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Digestive Disease Associates Llc | 1951734078 | 30 |
Chesapeake Digestive Associates, Pc | 5597151357 | 38 |
Frederick Health Medical Group Llc | 9931341096 | 178 |
Entity Name | Digestive Disease Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164432449 PECOS PAC ID: 6103807425 Enrollment ID: O20040525000072 |
Entity Name | Frederick Health Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
Entity Name | Digestive Disease Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407400955 PECOS PAC ID: 1951734078 Enrollment ID: O20191204000393 |
Entity Name | Chesapeake Digestive Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023765625 PECOS PAC ID: 5597151357 Enrollment ID: O20220404000398 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffery Wayne Van Den Broek, DO 10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 Ph: (410) 992-9797 | Dr Jeffery Wayne Van Den Broek, DO 10710 Charter Dr, Suite 110, Columbia, MD 21044-3128 Ph: (410) 992-9797 |
Dr. Jon Kent Minford, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Dr. Jacob Cherian, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578 | |
Dr. Tejaswi Rajasekhara Sastry, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Michael Howard Kelemen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303 | |
Dr. Tin O Maung, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274 | |
Angela M. Kopack, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033 |