Jared Randal Mcbroom, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Albuquerque, New Mexico. His current practice location is
2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 272-2111.
Jared Randal Mcbroom is licensed to practice in Colorado (license number PA.0008578) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316605017.
Physician's Profile
Full Name | Jared Randal Mcbroom |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2211 Lomas Blvd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jared Randal Mcbroom attended and graduated from in
NPI Data:
- NPI Number: 1316605017
- Provider Enumeration Date: 11/30/2021
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jared Randal Mcbroom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316605017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA2021-0110 (New Mexico) | Secondary |
363A00000X | Physician Assistant | PA2021-0110 (New Mexico) | Secondary |
363A00000X | Physician Assistant | PA.0008578 (Colorado) | Primary |
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. Jared Randal Mcbroom 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 |
Jared Randal Mcbroom, PHYSICIAN ASSISTANT 1416 Stoneway Dr Nw, Albuquerque, NM 87120-6046 Ph: (505) 364-6915 | Jared Randal Mcbroom, PHYSICIAN ASSISTANT 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-2111 |
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