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Tasha Marie Broach

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as TASHA BROACH.

Based on the most recent information from CMS, provider Tasha Marie Broach is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528446994
Provider Type
Individual
Full Name
Broach, Tasha Marie
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/18/2015
Last Updated
3/13/2025

Contact Information

Practice Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

(843) 890-4564

Mailing Location

Sc House Calls Inc, 111 Doctors Cir, Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 19461 South Carolina

Tasha Marie Broach

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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