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PAMELA BROSKA M.D. NPI 1770535304


NPI Information

NPI: 1770535304
Provider Name: PAMELA BROSKA, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
72785 FRANK SINATRA DR
SUITE 101
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 969-5900
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Pamela Broska, M.D. is a mohs-micrographic surgery dermatology in Rancho Mirage, CA with 38 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Pamela Broska, M.D. NPI is 1770535304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

72785 FRANK SINATRA DR
SUITE 101
RANCHO MIRAGE, CA
ZIP 92270-205
Phone: (760) 969-5900
Fax: (760) 969-5900

The NPI 1770535304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 6/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyG61351CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryG61351CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WGA61351IMEDICARE PINCALIFORNIA
2A53641MEDICARE UPINCALIFORNIA
300G613516MEDICARE PINCALIFORNIA
400G613515MEDICARE PINCALIFORNIA
500G613512OTHERCALIFORNIAINDIVIDUAL PTAN
600G613517MEDICARE PINCALIFORNIA
7070013862OTHERCALIFORNIARAILROAD MEDICARE
8WGA61351JMEDICARE PINCALIFORNIA
9WG61351KMEDICARE PINCALIFORNIA
1000G613514MEDICARE PINCALIFORNIA
1100G613513MEDICARE PINCALIFORNIA
12WG61351HMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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