Jeffery Broadbent Jr, LCSW in Bowling Green, KY - Medicare Social Worker Provider

Jeffery Broadbent Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bowling Green, Kentucky. His current practice location is 822 Woodway St, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 901-5000.

Jeffery Broadbent Jr is licensed to practice in Kentucky (license number 258726) 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 1447717327.

Contact Information

	Jeffery Broadbent Jr, LCSW
	822 Woodway St, Bowling Green, KY 42101-2771
	(270) 901-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffery Broadbent Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	822 Woodway St, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447717327
Provider Enumeration Date: 02/27/2019
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1052757697
Enrollment ID: I20240306001511

Medical Identifiers

Medical identifiers for Jeffery Broadbent Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447717327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	258726 (Kentucky)	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. Jeffery Broadbent Jr allows following entities to bill medicare on his behalf.

Entity Name	Lifeskills, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330

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. Jeffery Broadbent Jr 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
Jeffery Broadbent Jr, LCSW 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000	Jeffery Broadbent Jr, LCSW 822 Woodway St, Bowling Green, KY 42101-2771 Ph: (270) 901-5000

Reviews and Comments

Social Worker in Bowling Green, KY

Rebecca Woodrow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011
Chelsey Reeves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268
Londa Stockton, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268
Robert Justin Edmunds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-782-0120
Jacqueline Nichole Felts, MSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1990 Louisville Rd Ste 107, Bowling Green, KY 42101 Phone: 270-904-0055 Fax: 270-904-5110

Jeffery Broadbent Jr, LCSW - Medicare Clinical Social Worker in Bowling Green, KY