Dr Mary Broderick Christensen, MD is a medicare enrolled "Family Medicine" physician in Eldridge, California. Her current practice location is
15000 Arnold Dr, Eldridge, California. You can reach out to her office (for appointments etc.) via phone at
(707) 938-6690.
Dr Mary Broderick Christensen is licensed to practice in California (license number G72502) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982656724.
Physician's Profile
| Full Name | Dr Mary Broderick Christensen |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 15000 Arnold Dr, Eldridge, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982656724
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 12/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092763490
- Enrollment ID: I20050111001110
Medical Identifiers
Medical identifiers for Dr Mary Broderick Christensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982656724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | G72502 (California) | 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 Mary Broderick Christensen allows following entities to bill medicare on her behalf.
| Entity Name | State Of California - Department Of Developmental Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154372498
PECOS PAC ID: 4082788732
Enrollment ID: O20081114000496 |
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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 Mary Broderick Christensen 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 |
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Dr Mary Broderick Christensen, MD
1600 9th St, Room 205 Mailstop 23,
Sacramento, CA 95814-6414
Ph: (916) 654-2431 | Dr Mary Broderick Christensen, MD
15000 Arnold Dr,
Eldridge, CA 95431-8900
Ph: (707) 938-6690 |
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