Mrs Denise Michelle Mcbroom, PA is a
Physician Assistant physician based in Cape Canaveral, Florida. Mrs Denise Michelle Mcbroom is licensed to practice in Florida (license number 9111719) and her current practice location is 390 Challenger Rd, Cape Canaveral, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 633-8640.
NPI number for Mrs Denise Michelle Mcbroom is 1558546267 and her current mailing address is 602 E. 72nd Street, Savannah, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558546267.
Physician's Profile
| Full Name | Mrs Denise Michelle Mcbroom |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 390 Challenger Rd, Cape Canaveral, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558546267
- Provider Enumeration Date: 01/02/2008
- Last Update Date: 01/25/2022
Medical Identifiers
Medical identifiers for Mrs Denise Michelle Mcbroom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558546267 | NPI | - | NPPES |
| 972007681A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 003185 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 9111719 (Florida) | 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. Mrs Denise Michelle Mcbroom 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 |
|---|
Mrs Denise Michelle Mcbroom, PA
602 E. 72nd Street,
Savannah, GA 31405-4913
Ph: (912) 819-7878 | Mrs Denise Michelle Mcbroom, PA
390 Challenger Rd,
Cape Canaveral, FL 32920-4200
Ph: (321) 633-8640 |
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