Dr Tangra Lea Broge, MD - Medicare Pediatrics in Ada, OK

Dr Tangra Lea Broge, MD is a medicare enrolled "Pediatrics" physician in Ada, Oklahoma. Her current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 421-4570.

Dr Tangra Lea Broge is licensed to practice in Oklahoma (license number 31854) 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 1851689517.

Contact Information

Dr Tangra Lea Broge, MD
1921 Stonecipher Blvd,
Ada, OK 74820
(580) 421-4570
Not Available



Physician's Profile

Full NameDr Tangra Lea Broge
GenderFemale
SpecialityPediatrics
Location1921 Stonecipher Blvd, Ada, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851689517
  • Provider Enumeration Date: 07/15/2011
  • Last Update Date: 09/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6204146020
  • Enrollment ID: I20151106001973

Medical Identifiers

Medical identifiers for Dr Tangra Lea Broge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851689517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 31854 (Oklahoma)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 Tangra Lea Broge allows following entities to bill medicare on her behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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› Verified 2 days ago

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 Tangra Lea Broge 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 Tangra Lea Broge, MD
1921 Stonecipher Blvd,
Ada, OK 74820

Ph: (580) 421-4570
Dr Tangra Lea Broge, MD
1921 Stonecipher Blvd,
Ada, OK 74820

Ph: (580) 421-4570

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Study reports a potential new investigational therapy for skin cancer

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Pediatrics Doctors in Ada, OK

Stefan Iorga, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2020 Arlington St Ste 2, Ada, OK 74820
Phone: 580-436-1506    Fax: 580-436-1519
Benjamin Martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6283
Abiodun Fatima Balogun, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Ronald D Bullard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Jennie Mathew,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Dr. Stephanie Johniece Schofield, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Rachel Renee Birchfield, PA-C
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-421-4550    

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