Matthew A Broom, MD in St. Louis, MO

Matthew A Broom, MD is a medicare enrolled "Pediatrics" physician in St. Louis, Missouri. His current practice location is 1465 S Grand Blvd, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 268-4070.

Matthew A Broom is licensed to practice in Missouri (license number 2006004155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114967767.

Contact Information

	Matthew A Broom, MD
	1465 S Grand Blvd, St. Louis, MO 63104-1003
	(314) 268-4070
	(314) 268-4021

Map and Direction

Physician's Profile

Full Name	Matthew A Broom
Gender	Male
Speciality	Pediatrics
Location	1465 S Grand Blvd, St. Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114967767
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2163427451
Enrollment ID: I20060920000044

Medical Identifiers

Medical identifiers for Matthew A Broom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114967767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2006004155 (Missouri)	Secondary
208000000X	Pediatrics	2006004155 (Missouri)	Primary

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. Matthew A Broom allows following entities to bill medicare on his behalf.

Entity Name	Ssm Cardinal Glennon Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20060302000596

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. Matthew A Broom 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
Matthew A Broom, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 268-4070	Matthew A Broom, MD 1465 S Grand Blvd, St. Louis, MO 63104-1003 Ph: (314) 268-4070

Reviews and Comments

Pediatrics Doctors in St. Louis, MO

Patrick Francis Durkin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Place, 3rd Floor, Suite 3s34, St. Louis, MO 63110 Phone: 314-454-6006
Donna R Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379
Shulamit Menashe Portnoy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-577-5609 Fax: 314-268-4028
Felicia L. Harvey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 West Florissant, St. Louis, MO 63033 Phone: 314-838-8220 Fax: 314-838-8091
Mary S Heaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379
Dr. Kristen M Mennemeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131 Phone: 314-569-2112 Fax: 314-569-1270
Lauren Marie Hayes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 Phone: 314-577-5600 Fax: 314-577-5616

Matthew A Broom, MD - Medicare Pediatrics in St. Louis, MO