Nikki Ilona Broussard, CRNP in Dothan, AL - Medicare Nurse Practitioner

Nikki Ilona Broussard, CRNP is a medicare enrolled "Internal Medicine - Nephrology" physician in Dothan, Alabama. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dothan Hypertension Nephrology Associates and her current practice location is 207 Haven Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (337) 793-3319.

Nikki Ilona Broussard is licensed to practice in Alabama (license number 1-121127) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043034580.

Contact Information

	Nikki Ilona Broussard, CRNP
	207 Haven Dr, Dothan, AL 36301-2919
	(337) 793-3319
	Not Available

Map and Direction

Physician's Profile

Full Name	Nikki Ilona Broussard
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	207 Haven Dr, Dothan, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nikki Ilona Broussard graduated from medical school in 2023

NPI Data:

NPI Number: 1043034580
Provider Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8628599107
Enrollment ID: I20250313000973

Medical Identifiers

Medical identifiers for Nikki Ilona Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043034580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	1-121127 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Alabama Medical Center	Dothan, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dothan Hypertension Nephrology Associates	5991746661	11

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. Nikki Ilona Broussard allows following entities to bill medicare on her behalf.

Entity Name	Dothan Hypertension Nephrology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013018407 PECOS PAC ID: 5991746661 Enrollment ID: O20050822000909

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. Nikki Ilona 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
Nikki Ilona Broussard, CRNP 207 Haven Dr, Dothan, AL 36301-2919 Ph: (334) 793-3319	Nikki Ilona Broussard, CRNP 207 Haven Dr, Dothan, AL 36301-2919 Ph: (337) 793-3319

Reviews and Comments

Internal Medicine Doctors in Dothan, AL

Meagan Self Hoggle, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203
Parks Winfield Pratt Iii, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907
Mr. Rodney K Beauchamp, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004
Brian Reynolds Sinclair, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401
Dr. Olawale Mayokun Osunsanya, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Jeffrey John Crittenden, MD Nephrology Medicare: Medicare Enrolled Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888

Nikki Ilona Broussard, CRNP - Medicare Nurse Practitioner in Dothan, AL