Dr Toby D Broussard, MD - Medicare Surgery in Edmond, OK

Dr Toby D Broussard, MD is a medicare enrolled "Surgery" physician in Edmond, Oklahoma. His current practice location is 1800 Renaissance Blvd, 2nd Floor, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 359-2473.

Dr Toby D Broussard is licensed to practice in Oklahoma (license number 24881) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770587636.

Contact Information

Dr Toby D Broussard, MD
1800 Renaissance Blvd, 2nd Floor,
Edmond, OK 73013-3023
(405) 359-2473
Not Available



Physician's Profile

Full NameDr Toby D Broussard
GenderMale
SpecialitySurgery
Location1800 Renaissance Blvd, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770587636
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 06/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4880632272
  • Enrollment ID: I20090105000036

Medical Identifiers

Medical identifiers for Dr Toby D Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770587636NPI-NPPES
1989592MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 20450 (Louisiana)Secondary
208600000XSurgery 24881 (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 Toby D Broussard allows following entities to bill medicare on his behalf.
Entity NameTransforming Lives Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689729907
PECOS PAC ID: 2264621507
Enrollment ID: O20110118000821

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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 Toby D Broussard 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 Toby D Broussard, MD
1800 Renaissance Blvd,
Edmond, OK 73013-3023

Ph: (405) 359-2473
Dr Toby D Broussard, MD
1800 Renaissance Blvd, 2nd Floor,
Edmond, OK 73013-3023

Ph: (405) 359-2473

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Surgery Doctors in Edmond, OK

Stephen W Mihalsky, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Bryant Ave, Suite 407, Edmond, OK 73034
Phone: 405-348-5060    Fax: 405-348-7508
Joshua P Carey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4833 Integris Pkwy, Suite 350, Edmond, OK 73034
Phone: 405-657-3690    Fax: 405-552-5143
Dr. Carl J Gilbert, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 4509 Integris Pkwy, Edmond, OK 73034
Phone: 405-657-3195    Fax: 405-657-3193
Dr. Sylvia Susana Gray, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013
Phone: 405-757-3340    Fax: 405-757-3341
Dr. Ernestine Carol Shires, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3815 S Boulevard, Edmond, OK 73013
Phone: 405-330-7000    
Dr. Larry E Adams, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5809 Havenshire Ln, Edmond, OK 73034
Phone: 580-421-5815    
Gregory F Walton, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013
Phone: 405-359-2473    

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