Terence Broussard-bnu, in Novi, MI - Medicare Counselor Provider

Terence Broussard-bnu, is a medicare enrolled "Counselor - Mental Health" provider in Novi, Michigan. His current practice location is 2026 Austin Dr, Novi, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 385-3498.

Terence Broussard-bnu is licensed to practice in Michigan (license number 6401017654) 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 1083100655.

Contact Information

	Terence Broussard-bnu,
	2026 Austin Dr, Novi, MI 48377-1906
	(248) 385-3498
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terence Broussard-bnu
Gender	Male
Speciality	Counselor - Mental Health
Location	2026 Austin Dr, Novi, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083100655
Provider Enumeration Date: 07/07/2018
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7315305406
Enrollment ID: I20250130001386

Medical Identifiers

Medical identifiers for Terence Broussard-bnu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083100655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401017654 (Michigan)	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. Terence Broussard-bnu allows following entities to bill medicare on his behalf.

Entity Name	Conflict Resolution Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174002018 PECOS PAC ID: 6507224698 Enrollment ID: O20250130001177

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. Terence Broussard-bnu 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
Terence Broussard-bnu, 2026 Austin Dr, Novi, MI 48377-1906 Ph: () -	Terence Broussard-bnu, 2026 Austin Dr, Novi, MI 48377-1906 Ph: (248) 385-3498

Reviews and Comments

Counselor in Novi, MI

Katina R Johnson-pease, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030
Michelle Rice Ghee, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22226 Solomon Blvd, 232, Novi, MI 48375 Phone: 248-470-0655
Ms. Tracy M Safranski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Blvd Ste 100, Novi, MI 48375 Phone: 248-724-6195
Cristen Adell Zaleski, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 Phone: 248-226-3013 Fax: 248-347-6479
Amanda Doster, Counselor Medicare: Medicare Enrolled Practice Location: 24461 Willow Ln, Novi, MI 48375 Phone: 231-730-2155 Fax: 734-585-7977
Mr. John Andrew Sternfels, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23895 Novi Rd, #300, Novi, MI 48375 Phone: 248-773-8440
Mrs. Nadia Samhouri Sater, LPC, AT-R, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27093 Ladbroke St, Novi, MI 48374 Phone: 248-321-1930

Terence Broussard-bnu, - Medicare Counselor in Novi, MI