| Heath Broussard, MD | |
|
700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | |
| (731) 422-0310 | |
| (731) 422-0440 |
| Full Name | Heath Broussard |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 700 W Forest Ave, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801881958 | NPI | - | NPPES |
| 3832620 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 31232 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841437175 PECOS PAC ID: 0042389264 Enrollment ID: O20090316000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Heath Broussard, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Heath Broussard, MD 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 Ph: (731) 422-0310 |
Adrian Sarli, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Shaniece A Craft, Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 Fax: 731-664-0057 | |
James Daniel Day, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Dean P Currie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Dr. Garrison Berry Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
David M Laird, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Dr. Zachary Negley, MD Surgery Medicare: Medicare Enrolled Practice Location: 569 Skyline Dr, Jackson, TN 38301 Phone: 731-664-7395 |