Jessica Lynn Broadway, ARRT RT(R)(CT)(M) is a
Radiology - Diagnostic Radiology physician based in Parker, Arizona. Jessica Lynn Broadway is licensed to practice in Arizona (license number 31622) and her current practice location is 12033 W Agency Ave, Parker, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 669-3379.
NPI number for Jessica Lynn Broadway is 1316541204 and her current mailing address is 3626 Beechwood Dr, Lake Havasu City, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316541204.
Physician's Profile
Full Name | Jessica Lynn Broadway |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 12033 W Agency Ave, Parker, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316541204
- Provider Enumeration Date: 11/23/2020
- Last Update Date: 11/23/2020
Medical Identifiers
Medical identifiers for Jessica Lynn Broadway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316541204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 31622 (Arizona) | 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. Jessica Lynn Broadway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Lynn Broadway, ARRT RT(R)(CT)(M) 3626 Beechwood Dr, Lake Havasu City, AZ 86406-7239 Ph: (573) 382-9704 | Jessica Lynn Broadway, ARRT RT(R)(CT)(M) 12033 W Agency Ave, Parker, AZ 85344 Ph: (928) 669-3379 |
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