Dr Katherine Marie Broman, MD | |
400 Benedicta Ave, Ste A, Trinidad, CO 81082-2089 | |
(719) 846-2206 | |
(719) 846-7823 |
Full Name | Dr Katherine Marie Broman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 37 Years |
Location | 400 Benedicta Ave, Trinidad, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780663294 | NPI | - | NPPES |
0265223 | Medicaid | IA | |
54422 | Other | IA | BCBS GROUP NUMBER |
27075 | Other | IA | STATE LICENSE NUMBER |
54447 | Other | IA | BCBS INDIVIDUAL NUMBER |
21950 | Other | IA | MIDLANDS CHOICE ID |
2107748 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27075 (Iowa) | Primary |
207Q00000X | Family Medicine | DR.0056414 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mt San Rafael Hospital | Trinidad, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinidad Area Health Association | 2769394055 | 20 |
Entity Name | Trinidad Area Health Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
Mailing Address | Practice Location Address |
---|---|
Dr Katherine Marie Broman, MD 410 Benedicta Ave, Trinidad, CO 81082-2005 Ph: (719) 846-9213 | Dr Katherine Marie Broman, MD 400 Benedicta Ave, Ste A, Trinidad, CO 81082-2089 Ph: (719) 846-2206 |
David Serafini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Grove St, Trinidad, CO 81082 Phone: 843-363-1071 | |
Joseph P Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-2206 | |
Abigail Renae Norris, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-2206 Fax: 719-846-7823 | |
Karen I Fedde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 911 Robinson Ave, Trinidad, CO 81082 Phone: 303-697-2583 Fax: 719-422-8808 | |
Thomas Perry Goodell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-2206 Fax: 719-845-0663 | |
Douglas M Mcfarland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-3305 Fax: 719-846-8275 |