Jessirae Broussard, AA - Medicare Anesthesiology Assistant in Liberty, MO

Jessirae Broussard, AA is a medicare enrolled "Anesthesiologist Assistant" in Liberty, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Professional Anesthetic Care Inc and her current practice location is 2525 Glenn Hendren Dr, Anesthesia Dept, Liberty, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 781-7200.

Jessirae Broussard is licensed to practice in Missouri (license number 2014018078) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326452962.

Contact Information

Jessirae Broussard, AA
2525 Glenn Hendren Dr, Anesthesia Dept,
Liberty, MO 64068-9625
(816) 781-7200
(816) 792-7196



Provider's Profile

Full NameJessirae Broussard
GenderFemale
SpecialityAnesthesiology Assistant
Experience10 Years
Location2525 Glenn Hendren Dr, Liberty, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessirae Broussard graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1326452962
  • Provider Enumeration Date: 06/11/2014
  • Last Update Date: 12/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456576610
  • Enrollment ID: I20140701001325

Medical Identifiers

Medical identifiers for Jessirae Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326452962NPI-NPPES
P01350390OtherMORAILROAD
50498011OtherMOBCBS KC
1326452962MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 2014018078 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New Liberty Hospital DistrictLiberty, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Professional Anesthetic Care Inc236542586532

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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. Jessirae Broussard allows following entities to bill medicare on her behalf.
Entity NameProfessional Anesthetic Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053461
PECOS PAC ID: 2365425865
Enrollment ID: O20040607001480

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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. Jessirae 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
Jessirae Broussard, AA
Po Box 804408,
Kansas City, MO 64180-4408

Ph: (913) 647-4100
Jessirae Broussard, AA
2525 Glenn Hendren Dr, Anesthesia Dept,
Liberty, MO 64068-9625

Ph: (816) 781-7200

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Anesthesiologist Assistant Nurses in Liberty, MO

Pooja A Patel, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-781-7200    Fax: 816-792-7196
Troy M Green, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-781-7200    Fax: 816-792-7196
Mrs. Jamie Nafzinger, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-781-7200    Fax: 816-792-7196
Melanie J Guthrie, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-781-7200    Fax: 816-792-7196
Cassidy N Kimball, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-781-7200    Fax: 816-792-7196
Mary Jeanne Roberts, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068
Phone: 816-792-7126    Fax: 816-792-7196
Trent Andrew Platz, A.A.
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Glenn Hendren Dr, Anesthesia Dept, Liberty, MO 64068
Phone: 816-792-7037    Fax: 816-792-7196

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