| Briana Broschat, | |
|
161 Main St, Mission, SD 57555 | |
| (856) 605-2295 | |
| Not Available |
| Full Name | Briana Broschat |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 161 Main St, Mission, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174243752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F08220646 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 002530 (South Dakota) | Primary |
| Entity Name | Horizon Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
| Mailing Address | Practice Location Address |
|---|---|
| Briana Broschat, Po Box 1552, Mission, SD 57555-1552 Ph: () - | Briana Broschat, 161 Main St, Mission, SD 57555 Ph: (856) 605-2295 |
Mrs. Autumn Rae Tucker, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 S, Main Street, Mission, SD 57555 Phone: 605-856-2295 | |
Ryan Ross Rowe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S. Main, Mission, SD 57555 Phone: 605-856-2295 | |
Alyssa Morgan Hicks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S Main Street, Mission, SD 57555 Phone: 605-856-2295 Fax: 866-423-6811 | |
Carrie Kocer, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 South Main Street, Mission, SD 57555 Phone: 605-856-2295 |