Justin Gary Broadhead, CRNA in Port Charlotte, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Justin Gary Broadhead, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Charlotte, Florida. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Iii Pa and his current practice location is 21298 Olean Blvd, Port Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 629-1181.

Justin Gary Broadhead is licensed to practice in Florida (license number 9397757) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477076107.

Contact Information

	Justin Gary Broadhead, CRNA
	21298 Olean Blvd, Port Charlotte, FL 33952-6705
	(941) 629-1181
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Gary Broadhead
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	21298 Olean Blvd, Port Charlotte, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin Gary Broadhead graduated from nursing school in 2017

NPI Data:

NPI Number: 1477076107
Provider Enumeration Date: 07/25/2017
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9335411008
Enrollment ID: I20210127000361

Medical Identifiers

Medical identifiers for Justin Gary Broadhead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477076107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	9397757 (Florida)	Primary
367500000X	Nurse Anesthetist, Certified Registered	1011922 (Texas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Corpus Christi Medical Center,the	Corpus christi, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Iii Pa	0042630501	335

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. Justin Gary Broadhead allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Ii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Justin Gary Broadhead 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
Justin Gary Broadhead, CRNA 1 Tampa General Cir Ste A327, Tampa, FL 33606-3571 Ph: (813) 844-4116	Justin Gary Broadhead, CRNA 21298 Olean Blvd, Port Charlotte, FL 33952-6705 Ph: (941) 629-1181

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Port Charlotte, FL

Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020
Juan David Vargas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18350 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-206-7251
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220
Michael A Baskind, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21275 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-624-5559 Fax: 941-624-3777
Ms. Debra S. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952 Phone: 941-235-5800
Nancy A Waywood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122

Justin Gary Broadhead, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Charlotte, FL