Dr Blaine Mark Broussard, MD in Alexandria, LA

Dr Blaine Mark Broussard, MD is a medicare enrolled "Internal Medicine" physician in Alexandria, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2009 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Freedman Clinic Of Internal Medicine Llp, Physical Therapy Services Of West Louisiana Inc and his current practice location is 176 Versailles Blvd, Alexandria, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 445-9331.

Dr Blaine Mark Broussard is licensed to practice in Louisiana (license number 206014) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1023251659.

Contact Information

	Dr Blaine Mark Broussard, MD
	176 Versailles Blvd, Alexandria, LA 71303-2493
	(318) 445-9331
	(318) 619-6899

Map and Direction

Physician's Profile

Full Name	Dr Blaine Mark Broussard
Gender	Male
Speciality	Internal Medicine
Experience	16 Years
Location	176 Versailles Blvd, Alexandria, Louisiana
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Blaine Mark Broussard attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2009

NPI Data:

NPI Number: 1023251659
Provider Enumeration Date: 04/13/2009
Last Update Date: 05/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8921249459
Enrollment ID: I20130726000093

Medical Identifiers

Medical identifiers for Dr Blaine Mark Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023251659	NPI	-	NPPES
2339605	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	206014 (Louisiana)	Secondary
207R00000X	Internal Medicine	206014 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lagniappe Homecare Alexandria	Alexandria, LA	Home health agency
Kindred At Home	Alexandria, LA	Home health agency
Elara Caring	Alexandria, LA	Home health agency
Stat Home Health-central	Alexandria, LA	Home health agency
Amedisys Home Health Services	Alexandria, LA	Home health agency
Christus St Frances Cabrini Hospital	Alexandria, LA	Hospital
Avoyelles Hospital	Marksville, LA	Hospital
Rapides Regional Medical Center	Alexandria, LA	Hospital
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Freedman Clinic Of Internal Medicine Llp	0345145447	14
Physical Therapy Services Of West Louisiana Inc	0446388763	69

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. Dr Blaine Mark Broussard allows following entities to bill medicare on his behalf.

Entity Name	Freedman Clinic Of Internal Medicine Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831180637 PECOS PAC ID: 0345145447 Enrollment ID: O20031203000085

Entity Name	Cenla Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841872355 PECOS PAC ID: 5799184081 Enrollment ID: O20210518001673

Entity Name	Fcim Extended Services Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619724721 PECOS PAC ID: 8325586134 Enrollment ID: O20240812002190

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. Dr Blaine Mark Broussard 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
Dr Blaine Mark Broussard, MD Po Box 13030, Alexandria, LA 71315-3030 Ph: (318) 445-9331	Dr Blaine Mark Broussard, MD 176 Versailles Blvd, Alexandria, LA 71303-2493 Ph: (318) 445-9331

Reviews and Comments

Internal Medicine Doctors in Alexandria, LA

Dr. Bruce W Barton, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 4th St Ste 3d, Alexandria, LA 71301 Phone: 318-473-9701 Fax: 318-473-9705
Dr. Hafez Halawani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-448-6917 Fax: 318-448-6866
Dr. Arun K Karsan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 4th St, Suite 2d, Alexandria, LA 71301 Phone: 318-442-7867 Fax: 318-442-3015
Robert J Richards, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 4th St Ste 3f, Alexandria, LA 71301 Phone: 318-625-4149 Fax: 877-525-2516
Dr. Kelly Ryder, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-320-4422
Dr. Vikram Singh Nijjar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2108 Texas Ave, Suite 2061, Alexandria, LA 71301 Phone: 318-448-1041 Fax: 318-448-0895
Dr. Naseem A Jaffrani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Medical Center Dr, Suite 250, Alexandria, LA 71301 Phone: 318-473-4613 Fax: 318-445-7129

Dr Blaine Mark Broussard, MD - Medicare Internal Medicine in Alexandria, LA