Jennifer Nicole Broussard, MD | |
9000 Franklin Square Dr, Baltimore, MD 21237-3901 | |
(443) 777-7000 | |
Not Available |
Full Name | Jennifer Nicole Broussard |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 23 Years |
Location | 9000 Franklin Square Dr, Baltimore, Maryland |
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 |
---|---|---|---|
1497713978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D62841 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Franklin Square Medical Center | Baltimore, MD | Hospital |
Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
Medstar Montgomery Medical Center | Olney, MD | Hospital |
Medstar Harbor Hospital | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Entity Name | Medstar Medical Group Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Nicole Broussard, MD 9000 Franklin Square Dr, Baltimore, MD 21237-3901 Ph: (443) 777-7000 | Jennifer Nicole Broussard, MD 9000 Franklin Square Dr, Baltimore, MD 21237-3901 Ph: (443) 777-7000 |
Serena Maria Bagnasco, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-955-2660 | |
Dr. Adeboye Oluwaseyi Osunkoya, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway, Johns Hopkins Pathology , Weinberg Room 2242, Baltimore, MD 21231 Phone: 405-808-5361 | |
Michael T. O'malley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-644-4379 Fax: 410-644-4325 | |
Michael Edward Kallen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway St, Baltimore, MD 21287 Phone: 410-955-3580 Fax: 410-614-1287 | |
Deyin Xing, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 North Broadway, Weinberg 2268, Baltimore, MD 21231 Phone: 410-955-3580 Fax: 410-614-1287 | |
Matthew Grant Gabrielson, Pathology Medicare: Medicare Enrolled Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3980 | |
Robert A. Palermo, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St, Baltimore, MD 21204 Phone: 443-849-2257 Fax: 443-849-3016 |