Dr Devin Reese Broadwater, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Slidell, Louisiana. He went to University Of Alabama School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Pathology. He is a member of the group practice South Coast Pathology Services Ltd and his current practice location is
1001 Gause Blvd, Slidell, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 280-2200.
Dr Devin Reese Broadwater is licensed to practice in Louisiana (license number 343754) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609301779.
Physician's Profile
| Full Name | Dr Devin Reese Broadwater |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 8 Years |
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| Location | 1001 Gause Blvd, Slidell, Louisiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Devin Reese Broadwater attended and graduated from University Of Alabama School Of Medicine in 2017
NPI Data:
- NPI Number: 1609301779
- Provider Enumeration Date: 04/26/2017
- Last Update Date: 10/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729475884
- Enrollment ID: I20220420002353
Medical Identifiers
Medical identifiers for Dr Devin Reese Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609301779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 29686 (Mississippi) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 343754 (Louisiana) | Primary |
| 208D00000X | General Practice | 31052 (Nebraska) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| South Coast Pathology Services Ltd | 3476550872 | 4 |
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 Devin Reese Broadwater allows following entities to bill medicare on his behalf.
| Entity Name | South Coast Pathology Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407967995 PECOS PAC ID: 3476550872 Enrollment ID: O20061027000105 |
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| Entity Name | Professional Pathology Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174516108 PECOS PAC ID: 0446311492 Enrollment ID: O20081209000337 |
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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 Devin Reese Broadwater 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 Devin Reese Broadwater, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-3000 | Dr Devin Reese Broadwater, MD 1001 Gause Blvd, Slidell, LA 70458-2987 Ph: (985) 280-2200 |
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