Mr Ronald Lee Broadwater Sr, MD in Cockeysville, MD

Mr Ronald Lee Broadwater Sr, MD is a medicare enrolled "Family Medicine" physician in Cockeysville, Maryland. His current practice location is 12 Brecon Pl, Ste 400, Cockeysville, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 281-8086.

Mr Ronald Lee Broadwater Sr is licensed to practice in Maryland (license number D0015200) 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 1821196601.

Contact Information

	Mr Ronald Lee Broadwater Sr, MD
	12 Brecon Pl, Ste 400, Cockeysville, MD 21030-2343
	(443) 281-8086
	(443) 281-8117

Map and Direction

Physician's Profile

Full Name	Mr Ronald Lee Broadwater Sr
Gender	Male
Speciality	Family Medicine
Location	12 Brecon Pl, Cockeysville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821196601
Provider Enumeration Date: 09/20/2006
Last Update Date: 03/06/2014

Medicare PECOS Information:

PECOS PAC ID: 8426230277
Enrollment ID: I20110711000096

Medical Identifiers

Medical identifiers for Mr Ronald Lee Broadwater Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821196601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0015200 (Maryland)	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. Mr Ronald Lee Broadwater Sr allows following entities to bill medicare on his behalf.

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

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. Mr Ronald Lee Broadwater Sr 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
Mr Ronald Lee Broadwater Sr, MD 12 Brecon Pl, Ste 400, Cockeysville, MD 21030-2343 Ph: (443) 281-8086	Mr Ronald Lee Broadwater Sr, MD 12 Brecon Pl, Ste 400, Cockeysville, MD 21030-2343 Ph: (443) 281-8086

Reviews and Comments

Family Medicine Doctors in Cockeysville, MD

Dr. David Hartig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10155 York Rd, Ste 200, Cockeysville, MD 21030 Phone: 410-628-2026 Fax: 410-667-6834
Mrs. Kirsten Gaskin, C.R.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10155 York Rd, Ste 200, Cockeysville, MD 21030 Phone: 410-628-2026 Fax: 410-667-6834
Dr. Ariane K Cometa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10151 York Rd, Ste 120, Cockeysville, MD 21030 Phone: 410-666-0804 Fax: 410-666-0979
Thy Bich Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10600 York Rd Ste 102, Cockeysville, MD 21030 Phone: 443-318-4141 Fax: 866-538-6990
Dr. Ephraim E Dagadu, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9832 York Road, Suite F, Cockeysville, MD 21030 Phone: 410-628-1861 Fax: 410-628-1862
Mary A Rackson, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 10155 York Rd, Ste 200, Cockeysville, MD 21030 Phone: 410-628-2026 Fax: 410-628-6507

Mr Ronald Lee Broadwater Sr, MD - Medicare Family Medicine in Cockeysville, MD