Brad Broyles, MD in Leesburg, FL - Medicare Psychiatry & Neurology

Brad Broyles, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Leesburg, Florida. His current practice location is 2018 Talley Rd, Leesburg, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 315-7500.

Brad Broyles is licensed to practice in Florida (license number ME 0071307) 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 1629033493.

Contact Information

	Brad Broyles, MD
	2018 Talley Rd, Leesburg, FL 34748-3426
	(352) 315-7500
	(352) 360-6582

Map and Direction

Physician's Profile

Full Name	Brad Broyles
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	2018 Talley Rd, Leesburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629033493
Provider Enumeration Date: 04/17/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1951580315
Enrollment ID: I20110201000286

Medical Identifiers

Medical identifiers for Brad Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629033493	NPI	-	NPPES
263317500	Medicaid	FL
03386	Other	FL	BLUE CROSS BLUE SHIELD #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	ME 0071307 (Florida)	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. Brad Broyles allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Resource Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851407365 PECOS PAC ID: 2567446982 Enrollment ID: O20040615000219

Entity Name	Lifestream Behavioral Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512

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. Brad Broyles 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
Brad Broyles, MD Po Box 491000, Leesburg, FL 34749-1000 Ph: (352) 315-7500	Brad Broyles, MD 2018 Talley Rd, Leesburg, FL 34748-3426 Ph: (352) 315-7500

Reviews and Comments

Psychiatry & Neurology Doctors in Leesburg, FL

Kranthi Boyapati, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582
Dr. Kenneth A. Henschel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10123 Us Highway 441, Leesburg, FL 34788 Phone: 352-426-5012
Dr. Nidsa I Martir Cruz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4700 Via Del Medico, Leesburg, FL 34748 Phone: 352-323-0888 Fax: 352-323-9103
Dr. Edgar Alfred Walker Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7500 Fax: 352-360-6582
Dr. Richard B Wallace, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900 Fax: 352-315-7587
Dr. Revathi Iyengar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5467 Fax: 352-315-3633
Thomas Valente, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7810 Fax: 352-360-6610

Brad Broyles, MD - Medicare Psychiatry & Neurology in Leesburg, FL