Alain Broulard, - Medicare Nurse Practitioner in Venice, CA

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Alain Broulard, is a medicare enrolled "Nurse Practitioner - Acute Care" in Venice, California. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Medical Foundation and his current practice location is 1122 Garfield Ave, Venice, California. You can reach out to his office (for appointments etc.) via phone at (818) 384-0927.

Alain Broulard is licensed to practice in California (license number 95009764) 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 1134691215.

Contact Information

Alain Broulard,
1122 Garfield Ave,
Venice, CA 90291-4937
(818) 384-0927
Not Available

Map and Direction




Provider's Profile

Full NameAlain Broulard
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location1122 Garfield Ave, Venice, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alain Broulard graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1134691215
  • Provider Enumeration Date: 12/29/2018
  • Last Update Date: 12/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8921438185
  • Enrollment ID: I20200501000001

Medical Identifiers

Medical identifiers for Alain Broulard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134691215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95009764 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051329

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. Alain Broulard allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameCapital Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992178222
PECOS PAC ID: 8921308636
Enrollment ID: O20151202002282
Entity NameSuperior Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780047712
PECOS PAC ID: 1456650928
Enrollment ID: O20160504002343

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. Alain Broulard 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 AddressPractice Location Address
Alain Broulard,
1122 Garfield Ave,
Venice, CA 90291-4937

Ph: (818) 384-0927		Alain Broulard,
1122 Garfield Ave,
Venice, CA 90291-4937

Ph: (818) 384-0927

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.