Dr John Joseph Broderick-cantwell, MD in Daphne, AL

Dr John Joseph Broderick-cantwell, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Daphne, Alabama. His current practice location is 7101 Us Highway 90 Ste 103, Daphne, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 517-5800.

Dr John Joseph Broderick-cantwell is licensed to practice in Alabama (license number 28950) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760493365.

Contact Information

	Dr John Joseph Broderick-cantwell, MD
	7101 Us Highway 90 Ste 103, Daphne, AL 36526-9510
	(251) 517-5800
	(256) 429-9411

Map and Direction

Physician's Profile

Full Name	Dr John Joseph Broderick-cantwell
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	7101 Us Highway 90 Ste 103, Daphne, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760493365
Provider Enumeration Date: 08/10/2006
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4587665203
Enrollment ID: I20081001000469

Medical Identifiers

Medical identifiers for Dr John Joseph Broderick-cantwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760493365	NPI	-	NPPES
28903	Other	SC	MEDICAL LICENSE
Q48343	Medicaid	SC
1353044	Medicaid	CO
DR-35304	Other	CO	MEDICAL LICENSE
28950	Other	AL	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	28950 (Alabama)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	28950 (Alabama)	Primary

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 John Joseph Broderick-cantwell allows following entities to bill medicare on his behalf.

Entity Name	Integrated Behavioral Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029

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 John Joseph Broderick-cantwell 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 Address	Practice Location Address
Dr John Joseph Broderick-cantwell, MD 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291	Dr John Joseph Broderick-cantwell, MD 7101 Us Highway 90 Ste 103, Daphne, AL 36526-9510 Ph: (251) 517-5800

Reviews and Comments

Psychiatry & Neurology Doctors in Daphne, AL

Marilyn E Barefoot, RN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1203 Us Hwy 98, Suite 2a, Daphne, AL 36526 Phone: 251-621-9167 Fax: 251-621-9003
Kathryn Ney, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1026 Stanton Rd, Suite A, Daphne, AL 36526 Phone: 251-626-1182 Fax: 251-217-2085
Dr. Rachel Helen Alison, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7400 Roper Ln, Daphne, AL 36526 Phone: 251-378-6500 Fax: 251-378-6563
Gabriella Regina Edington, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7400 Roper Ln, Daphne, AL 36526 Phone: 251-378-6500
Dr. Rassan M Tarabein, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27535 Us Highway 98, Daphne, AL 36526 Phone: 251-625-0909 Fax: 251-380-7390
Georgia A Cutts, RN, C Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1203 Us Hwy 98, Suite 2a, Daphne, AL 36526 Phone: 251-621-9167 Fax: 251-621-9003

Dr John Joseph Broderick-cantwell, MD - Medicare Psychiatry & Neurology in Daphne, AL