Kimberly Marie Broussard, PA in Houma, LA - Medicare Physician Assistant

Kimberly Marie Broussard, PA is a medicare enrolled "Physician Assistant" in Houma, Louisiana. Her current practice location is 249 Corporate Dr, Houma, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 853-0900.

Kimberly Marie Broussard is licensed to practice in Louisiana (license number PA.200597) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508200577.

Contact Information

	Kimberly Marie Broussard, PA
	249 Corporate Dr, Houma, LA 70360-2769
	(985) 853-0900
	Not Available

Provider's Profile

Full Name	Kimberly Marie Broussard
Gender	Female
Speciality	Physician Assistant
Location	249 Corporate Dr, Houma, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508200577
Provider Enumeration Date: 04/22/2013
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6709025315
Enrollment ID: I20130611000705

Medical Identifiers

Medical identifiers for Kimberly Marie Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508200577	NPI	-	NPPES
2330438	Medicaid	LA
01253212	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.200597 (Louisiana)	Primary

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. Kimberly Marie 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 Address	Practice Location Address
Kimberly Marie Broussard, PA 249 Corporate Dr, Houma, LA 70360-2769 Ph: (985) 853-0900	Kimberly Marie Broussard, PA 249 Corporate Dr, Houma, LA 70360-2769 Ph: (985) 853-0900

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Physician Assistant Nurses in Houma, LA

Mr. Dale Alan Lasseigne, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 502 Barrow Street, Houma, LA 70360 Phone: 985-876-2150 Fax: 985-876-7413
Mr. Bradley Paul Chauvin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1340 Grand Caillou Rd, Houma, LA 70363 Phone: 985-262-4424
Mr. Keith Michael Poche, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1750 Martin Luther King Blvd.,, Suite 107, Houma, LA 70360 Phone: 985-851-0118 Fax: 985-851-0116
Bartholomew J Cortez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420
Kevin Mark Ricks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053
Katherine Weimer Daigle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 School St, Houma, LA 70360 Phone: 985-868-1540
Paul J Cummins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053

Kimberly Marie Broussard, PA - Medicare Physician Assistant in Houma, LA