Jeremy Broadhurst, DO - Medicare Family Practice in Providence, UT

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Jeremy Broadhurst, DO is a medicare enrolled "Family Medicine" physician in Providence, Utah. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 190 S Highway 165, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-3300.

Jeremy Broadhurst is licensed to practice in Utah (license number 6681706-1204) 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 1114115664.

Contact Information

Jeremy Broadhurst, DO
190 S Highway 165,
Providence, UT 84332-9512
(435) 755-3300
Not Available

Map and Direction




Physician's Profile

Full NameJeremy Broadhurst
GenderMale
SpecialityFamily Practice
Experience18 Years
Location190 S Highway 165, Providence, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy Broadhurst graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1114115664
  • Provider Enumeration Date: 10/10/2007
  • Last Update Date: 03/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0446332761
  • Enrollment ID: I20080125000315

Medical Identifiers

Medical identifiers for Jeremy Broadhurst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114115664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 6681706-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Jeremy Broadhurst allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Jeremy Broadhurst 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 AddressPractice Location Address
Jeremy Broadhurst, DO
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 357-7930		Jeremy Broadhurst, DO
190 S Highway 165,
Providence, UT 84332-9512

Ph: (435) 755-3300

Reviews and Comments


Family Medicine Doctors in Providence, UT

Dr. Kevin R Duke, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 382 W 280 N, Providence, UT 84332
Phone: 435-752-0330    Fax: 435-755-0922
Vera B Carlson, MD, PHD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 565 W 465 N Ste 130, Providence, UT 84332
Phone: 435-752-5553    Fax: 435-755-5043
Andrew B Grose, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 382 W 280 N, Providence, UT 84332
Phone: 435-752-0330    Fax: 435-755-0922
Thomas H Clark, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 595 W 465 N, Providence, UT 84332
Phone: 385-238-3900    Fax: 385-238-3901
Dr. Lars Bergeson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 382 W 280 N, Providence, UT 84332
Phone: 435-752-0330    Fax: 435-755-0922
James Dennis Mathews, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 382 W 280 N, Providence, UT 84332
Phone: 435-752-0330    Fax: 435-755-0922

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.