Dr Tangra Lea Broge, MD in Ada, OK

Dr Tangra Lea Broge, MD is a medicare enrolled "Pediatrics" physician in Ada, Oklahoma. Her current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 421-4570.

Dr Tangra Lea Broge is licensed to practice in Florida (license number ME166508) 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 1851689517.

Contact Information

	Dr Tangra Lea Broge, MD
	1921 Stonecipher Blvd, Ada, OK 74820
	(580) 421-4570
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tangra Lea Broge
Gender	Female
Speciality	Pediatrics
Location	1921 Stonecipher Blvd, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851689517
Provider Enumeration Date: 07/15/2011
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6204146020
Enrollment ID: I20151106001973

Medical Identifiers

Medical identifiers for Dr Tangra Lea Broge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851689517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME166508 (Florida)	Primary
208000000X	Pediatrics	31854 (Oklahoma)	Secondary

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 Tangra Lea Broge allows following entities to bill medicare on her behalf.

Entity Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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 Tangra Lea Broge 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 Tangra Lea Broge, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570	Dr Tangra Lea Broge, MD 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570

Reviews and Comments

Pediatrics Doctors in Ada, OK

Stefan Iorga, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Arlington St Ste 2, Ada, OK 74820 Phone: 580-436-1506 Fax: 580-436-1519
Benjamin Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283
Abiodun Fatima Balogun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Ronald D Bullard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Jennie Mathew, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Stephanie Johniece Schofield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Rachel Renee Birchfield, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4550

Dr Tangra Lea Broge, MD - Medicare Pediatrics in Ada, OK