Kelly Clark Broderick, MD in San Mateo, CA

Kelly Clark Broderick, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Mateo, California. Her current practice location is 100 S San Mateo Dr, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at (650) 696-4515.

Kelly Clark Broderick is licensed to practice in California (license number G78759) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609821891.

Contact Information

	Kelly Clark Broderick, MD
	100 S San Mateo Dr, San Mateo, CA 94401-3805
	(650) 696-4515
	(650) 696-4626

Map and Direction

Physician's Profile

Full Name	Kelly Clark Broderick
Gender	Female
Speciality
Experience	Years
Location	100 S San Mateo Dr, San Mateo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Clark Broderick attended and graduated from in

NPI Data:

NPI Number: 1609821891
Provider Enumeration Date: 05/24/2006
Last Update Date: 09/23/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Kelly Clark Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609821891	NPI	-	NPPES
00G787590	Medicaid	CA
300121792	Other	CA	RAILROAD MEDICARE
00G787590	Other	CA	BLUE CROSS
300121755	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085U0001X	Radiology - Diagnostic Ultrasound	G78759 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	G78759 (California)	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. Kelly Clark Broderick 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
Kelly Clark Broderick, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3418	Kelly Clark Broderick, MD 100 S San Mateo Dr, San Mateo, CA 94401-3805 Ph: (650) 696-4515

Reviews and Comments

Radiology Doctors in San Mateo, CA

Harriet Beth Borofsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-696-4140
Clay Hughes Napper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-696-4515 Fax: 650-696-4626
Dr. Steven Marc Kurtzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 S San Mateo Dr, San Mateo, CA 94401 Phone: 209-342-2300 Fax: 209-524-4240
Dr. Clara Y. Choi, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3020 Monterey St, San Mateo, CA 94403 Phone: 650-212-7387
Doris Burton, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-343-1655
Al V Taira, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-696-4509
Dr. Avanti Ambekar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-696-4515 Fax: 650-696-4626

Kelly Clark Broderick, MD - Medicare in San Mateo, CA