Ms Taeja Broadwater, PA-C in Danville, PA - Medicare Physician Assistant

Ms Taeja Broadwater, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Danville, Pennsylvania. Her current practice location is Geisinger Medical Ctr, 100 North Academy Drive, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 271-5555.

Ms Taeja Broadwater is licensed to practice in Pennsylvania (license number MAO55689) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114152329.

Contact Information

	Ms Taeja Broadwater, PA-C
	Geisinger Medical Ctr, 100 North Academy Drive, Danville, PA 17822-0001
	(570) 271-5555
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Taeja Broadwater
Gender	Female
Speciality	Physician Assistant - Surgical
Location	Geisinger Medical Ctr, Danville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114152329
Provider Enumeration Date: 05/18/2009
Last Update Date: 09/27/2013

Medicare PECOS Information:

PECOS PAC ID: 1052562386
Enrollment ID: I20230109001648

Medical Identifiers

Medical identifiers for Ms Taeja Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114152329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	R185137 (Maryland)	Secondary
363AS0400X	Physician Assistant - Surgical	MAO55689 (Pennsylvania)	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. Ms Taeja Broadwater 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
Ms Taeja Broadwater, PA-C 1015 Clifton Dr, Bloomsburg, PA 17815-3083 Ph: (304) 673-9476	Ms Taeja Broadwater, PA-C Geisinger Medical Ctr, 100 North Academy Drive, Danville, PA 17822-0001 Ph: (570) 271-5555

Reviews and Comments

Physician Assistant Nurses in Danville, PA

Ms. Monisa Deanne Wagner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 Fax: 570-271-6002
Lauren Scheeler, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6437 Fax: 570-271-6663
Michael Caputo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955
Courtney Zoey Earnest, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6429 Fax: 570-271-6854
Shannon Taylor Borissov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211
Courtney Marie Holley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361
Erin E. Kohrherr, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841

Ms Taeja Broadwater, PA-C - Medicare Physician Assistant in Danville, PA