Dr. Larisa Broglie
M.D. | Pediatric Hematology-Oncology | Female
Dr. Larisa Broglie, M.D. is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Larisa Broglie is
9000 W Wisconsin Ave, Pediatric Bone Marrow Transplant, Milwaukee, Wisconsin - 53226-4874. She can be contacted on phone at
414-266-4850 and fax number 414-266-3682.
Dr. Larisa Broglie is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Larisa Broglie is
1063737013 which was assigned by NPPES on 01 Apr, 2010 and it was last updated on 22 Jun, 2020.
Dr. Larisa Broglie license number is
65875 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Wisconsin.
Dr. Larisa Broglie is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Larisa Broglie basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
|---|
| Provider Name : | Dr. Larisa Broglie |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Larisa Broglie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave, Pediatric Bone Marrow Transplant
Milwaukee, WI, 53226-4874
United States |
|---|
| Phone Number : | 414-266-4850 |
|---|
| Fax Number : | 414-266-3682 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063737013 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Apr, 2010 |
|---|
| Last Updated On : | 22 Jun, 2020 |
|---|
Medicare Participation:
Dr. Larisa Broglie participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6709179286 |
|---|
| Medicare Enrollment ID : | I20160720002460 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Jefferson Medical College Of Thomas Jefferson University |
|---|
| Graduation Year : | 2010 |
|---|
| Accepts Medicare? | Yes. Dr. Larisa Broglie accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Larisa Broglie is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Larisa Broglie is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1769 | 8701 W Watertown Plank Rd
Milwaukee, WI - 532263548
Ph: 4144564100 | Yes |
| The Medical College Of Wisconsin Inc | 2668384371 | 1769 | 9000 W Wisconsin Avnue
Milwaukee, WI - 532264874 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larisa Broglie are as mentioned. Primary taxonomy code for Dr. Larisa Broglie, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 65875 | WI |
| 208000000X | Pediatrics | No | 036132018 | IL |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 65875 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larisa Broglie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1063737013 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY AND ONCOLOGY
MILWAUKEE, WI, 53226-4874
United States | MILWAUKEE, WI | 414-955-4170 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave, Pediatric Bone Marrow Transplant
Milwaukee, WI, 53226-4874
United States |
|---|
| Phone Number : | 414-266-4850 |
|---|
| Fax Number : | 414-266-3682 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Larisa Broglie practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.