Dr Jan B Bernhisel-broadbent, MD - Medicare Allergy/immunology in Salt Lake City, UT

Dr Jan B Bernhisel-broadbent, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Salt Lake City, Utah. She went to University Of Utah School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and her current practice location is 2000 S 900 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 464-7500.

Dr Jan B Bernhisel-broadbent is licensed to practice in Utah (license number 2673071205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265487300.

Contact Information

Dr Jan B Bernhisel-broadbent, MD
2000 S 900 E,
Salt Lake City, UT 84105-3208
(801) 464-7500
Not Available



Physician's Profile

Full NameDr Jan B Bernhisel-broadbent
GenderFemale
SpecialityAllergy/immunology
Experience41 Years
Location2000 S 900 E, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jan B Bernhisel-broadbent attended and graduated from University Of Utah School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1265487300
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 12/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5092704114
  • Enrollment ID: I20040512000269

Medical Identifiers

Medical identifiers for Dr Jan B Bernhisel-broadbent such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265487300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy 2673071205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691115
Granger Medical Specialists Llc4587074356157

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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. Dr Jan B Bernhisel-broadbent allows following entities to bill medicare on her behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159

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Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

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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 Jan B Bernhisel-broadbent 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 Jan B Bernhisel-broadbent, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 464-7500
Dr Jan B Bernhisel-broadbent, MD
2000 S 900 E,
Salt Lake City, UT 84105-3208

Ph: (801) 464-7500

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Allergy & Immunology Doctors in Salt Lake City, UT

Craig M. Moffat, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 333 S 900 E, Salt Lake City, UT 84102
Phone: 801-535-8163    Fax: 801-355-4011
Michell Marola Lozano Chinga, M.D.
Allergy & Immunology
Medicare: Medicare Enrolled
Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone: 801-662-4700    
Eric C Chenworth, DO
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 24 S 1100 E Ste 201, Salt Lake City, UT 84102
Phone: 385-290-1289    Fax: 385-290-1290
Elizabeth A. Kelly, M.D.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 6272 Highland Dr, Salt Lake City, UT 84121
Phone: 801-871-6300    Fax: 801-871-6320
Dr. Robert Silge, M.D.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 S 900 E, Salt Lake City, UT 84105
Phone: 801-464-7510    
Dr. Edwin Ansell Bronsky, MD
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 3700 E Millstream Dr, Salt Lake City, UT 84109
Phone: 801-277-6060    

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