Gwen Marie Broz, DO is a medicare enrolled "Family Medicine" physician in W Brookfield, Massachusetts. Her current practice location is
46 N Main St, W Brookfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 867-8977.
Gwen Marie Broz is licensed to practice in Massachusetts (license number 73319) 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 1013091669.
Physician's Profile
Full Name | Gwen Marie Broz |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 46 N Main St, W Brookfield, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013091669
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002853892
- Enrollment ID: I20050413000555
Medical Identifiers
Medical identifiers for Gwen Marie Broz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013091669 | NPI | - | NPPES |
9787364 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 73319 (Massachusetts) | 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. Gwen Marie Broz allows following entities to bill medicare on her behalf.
Entity Name | West Brookfield Family Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205032463 PECOS PAC ID: 2466509625 Enrollment ID: O20090407000553 |
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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. Gwen Marie Broz 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 |
Gwen Marie Broz, DO Po Box 1044, W Brookfield, MA 01585 Ph: (508) 867-8977 | Gwen Marie Broz, DO 46 N Main St, W Brookfield, MA 01585 Ph: (508) 867-8977 |
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