Gregory Broderick, MD - Medicare Urology in Jacksonville, FL

Gregory Broderick, MD is a medicare enrolled "Urology" physician in Jacksonville, Florida. He went to University Of California, San Francisco School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mayo Clinic - Florida and his current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Gregory Broderick is licensed to practice in Florida (license number ME76658) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093705899.

Contact Information

Gregory Broderick, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available



Physician's Profile

Full NameGregory Broderick
GenderMale
SpecialityUrology
Experience41 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gregory Broderick attended and graduated from University Of California, San Francisco School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1093705899
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416091277
  • Enrollment ID: I20100217000065

Medical Identifiers

Medical identifiers for Gregory Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093705899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME76658 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic FloridaJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic - Florida56986892971310

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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. Gregory Broderick allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388

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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. Gregory Broderick 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
Gregory Broderick, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: () -
Gregory Broderick, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

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Urology Doctors in Jacksonville, FL

Amanda Elizabeth Kahn, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Eric Alee Vance Qualkenbush,
Urology
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Sarah Jessica Hampton,
Urology
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Daniela Andrea Haehn, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Charles Gary Cobb, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 710 Lomax St, Jacksonville, FL 32204
Phone: 904-355-6583    Fax: 904-355-4922
Dr. Erica S. Mercer, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 807 Childrens Way, Jacksonville, FL 32207
Phone: 904-390-3747    Fax: 904-390-3429

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