Broadway Sports And Internal Medicine - Medicare Primary Care in Bellevue, WA

Broadway Sports And Internal Medicine is a medicare enrolled primary clinic (Internal Medicine) in Bellevue, Washington. The current practice location for Broadway Sports And Internal Medicine is 1600 116th Ave Ne, Suite 202, Bellevue, Washington. For appointments, you can reach them via phone at (206) 215-2288. The mailing address for Broadway Sports And Internal Medicine is 1600 116th Ave Ne, Suite 202, Bellevue, Washington and phone number is (206) 215-2288.

Broadway Sports And Internal Medicine is licensed to practice in Washington (license number MD0019545). The clinic also participates in the medicare program and its NPI number is 1396803797. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (206) 215-2288.

Contact Information

Broadway Sports And Internal Medicine
1600 116th Ave Ne
Suite 202
Bellevue
WA 98004-3014
(206) 215-2288
(206) 215-2289

Primary Care Clinic Profile

Full NameBroadway Sports And Internal Medicine
SpecialityInternal Medicine
Location1600 116th Ave Ne, Bellevue, Washington
Authorized Official Name and PositionGary Richard Schuster (PHYSICIAN)
Authorized Official Contact2062152288
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Broadway Sports And Internal Medicine
1600 116th Ave Ne
Suite 202
Bellevue
WA 98004-3014

Ph: (206) 215-2288
Broadway Sports And Internal Medicine
1600 116th Ave Ne
Suite 202
Bellevue
WA 98004-3014

Ph: (206) 215-2288

NPI Details:

NPI Number1396803797
Provider Enumeration Date12/05/2006
Last Update Date11/04/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0042492944
Medicare Enrollment IDO20110315000044

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Medical Identifiers

Medical identifiers for Broadway Sports And Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396803797NPI-NPPES
MD0019545OtherWAWA STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine MD0019545 (Washington)Secondary
207R00000XInternal Medicine MD0019545 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Broadway Sports And Internal Medicine acts as a billing entity for following providers:
Provider NameGary R Schuster
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053500223
PECOS PAC ID: 0244126944
Enrollment ID: I20040227000231

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