Dr Emmett H Broxson Jr, MD - Medicare Pediatrics in Dayton, OH

Dr Emmett H Broxson Jr, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Dayton, Ohio. His current practice location is 1 Childrens Plz, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 641-3111.

Dr Emmett H Broxson Jr is licensed to practice in Ohio (license number 35056878) 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 1013023035.

Contact Information

Dr Emmett H Broxson Jr, MD
1 Childrens Plz,
Dayton, OH 45404-1898
(937) 641-3111
(937) 641-5885



Physician's Profile

Full NameDr Emmett H Broxson Jr
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1 Childrens Plz, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013023035
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941594741
  • Enrollment ID: I20160806000052

Medical Identifiers

Medical identifiers for Dr Emmett H Broxson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013023035NPI-NPPES
0828715MedicaidOH
0828715OtherOHBCMH
35056878OtherNDLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 35056878 (Ohio)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. Dr Emmett H Broxson Jr allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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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. Dr Emmett H Broxson Jr 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 AddressPractice Location Address
Dr Emmett H Broxson Jr, MD
7570 Deep Woods Ct,
Springboro, OH 45066-8570

Ph: (937) 748-4534
Dr Emmett H Broxson Jr, MD
1 Childrens Plz,
Dayton, OH 45404-1898

Ph: (937) 641-3111

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Pediatrics Doctors in Dayton, OH

Hemanth Shimoga Lingadevaru, MD,MPH,FAAP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3000    Fax: 937-641-3107
Tanya Paul, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3600    Fax: 937-641-5802
Dr. Sara Frances Guerrero-duby, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1010 Valley St, Dayton, OH 45404
Phone: 937-641-4000    Fax: 937-641-4500
Dr. Rory Jon Peppard, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409
Phone: 937-208-2907    Fax: 937-208-4515
Dr. Ramakrishna Mutyala, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-4000    Fax: 934-641-4500
Bryce Lawrence Willen, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Childrens Plz, Dayton, OH 45404
Phone: 937-641-3600    Fax: 937-641-5802

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