Corrianne H Broner, in Tucumcari, NM - Medicare Counselor Provider

Corrianne H Broner, is a medicare enrolled "Counselor - Professional" provider in Tucumcari, New Mexico. Her current practice location is 624 E Main St, Tucumcari, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 307-6476.

Corrianne H Broner is licensed to practice in New Mexico (license number 0143131) 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 1861727992.

Contact Information

	Corrianne H Broner,
	624 E Main St, Tucumcari, NM 88401-2250
	(505) 307-6476
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corrianne H Broner
Gender	Female
Speciality	Counselor - Professional
Location	624 E Main St, Tucumcari, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861727992
Provider Enumeration Date: 10/07/2009
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 8921528837
Enrollment ID: I20250221003566

Medical Identifiers

Medical identifiers for Corrianne H Broner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861727992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	T-0122951 (New Mexico)	Secondary
101YP2500X	Counselor - Professional	0143131 (New Mexico)	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. Corrianne H Broner allows following entities to bill medicare on her behalf.

Entity Name	Loving Embodiment Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386468577 PECOS PAC ID: 7012437924 Enrollment ID: O20250221003563

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. Corrianne H Broner 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
Corrianne H Broner, Po Box 107, Tucumcari, NM 88401-0107 Ph: (505) 307-6476	Corrianne H Broner, 624 E Main St, Tucumcari, NM 88401-2250 Ph: (505) 307-6476

Reviews and Comments

Counselor in Tucumcari, NM

Krystal R Tapia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411
Ethel Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E. High Street, Tucumcari, NM 88401 Phone: 575-461-4411 Fax: 575-461-4102
Ann Largent, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 102 E High St, Tucumcari, NM 88401 Phone: 505-461-6200 Fax: 505-461-0404
Robert Noel Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411
Ashley Ann Nolan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411
Jacqueline Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 Fax: 575-461-4102
Vicky Laredo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 505-461-4411

Corrianne H Broner, - Medicare Counselor in Tucumcari, NM