Suzette Broshears, MD | |
316 Chandler Ave, Evansville, IN 47713-1147 | |
(812) 436-4501 | |
(812) 436-4510 |
Full Name | Suzette Broshears |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 316 Chandler Ave, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205016995 | NPI | - | NPPES |
M400052567 | Other | MEDICARE | |
000000785906 | Other | IN | ANTHEM BCBS |
200200690 | Medicaid | IN | |
200079040D | Other | IN | MEDICAID GRP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01049478 (Indiana) | Primary |
Entity Name | Echo Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912906850 PECOS PAC ID: 4981515145 Enrollment ID: O20040721001319 |
Mailing Address | Practice Location Address |
---|---|
Suzette Broshears, MD 315 Mulberry St, Evansville, IN 47713-1252 Ph: (812) 421-7489 | Suzette Broshears, MD 316 Chandler Ave, Evansville, IN 47713-1147 Ph: (812) 436-4501 |
Dr. Mohammad I Hussain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 Phone: 812-479-8566 | |
Dr. Carol Lynn Berseth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 Park Plaza Dr, Evansville, IN 47715 Phone: 812-471-8984 | |
William Selby, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 | |
Jason R Wiles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000 | |
Douglas S Palmenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1231 Washington Square, Evansville, IN 47715 Phone: 812-479-6907 Fax: 812-479-6967 | |
Dr. Lata R Shukla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986 Fax: 812-471-6692 | |
Richard Cleavelin Probert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 W Division St, Suite 400 West, Evansville, IN 47710 Phone: 812-436-4501 Fax: 812-436-4510 |