Crystal Broussard, FNP in Lafayette, LA - Medicare Nurse Practitioner

Crystal Broussard, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Louisiana. Her current practice location is 203 Energy Pkwy, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 266-8483.

Crystal Broussard is licensed to practice in Louisiana (license number AP09216) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134668411.

Contact Information

	Crystal Broussard, FNP
	203 Energy Pkwy, Lafayette, LA 70508-3815
	(337) 266-8483
	(337) 266-8463

Map and Direction

Provider's Profile

Full Name	Crystal Broussard
Gender	Female
Speciality	Nurse Practitioner - Family
Location	203 Energy Pkwy, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134668411
Provider Enumeration Date: 02/20/2017
Last Update Date: 11/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7719264191
Enrollment ID: I20170512001175

Medical Identifiers

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

Identifier	Type	State	Issuer
1134668411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP09216 (Louisiana)	Primary

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. Crystal Broussard allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Group Of Acadiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265499628 PECOS PAC ID: 2466476023 Enrollment ID: O20060123000121

Entity Name	Baton Rouge Primary Care Collaborative Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689722431 PECOS PAC ID: 6305819541 Enrollment ID: O20090925000413

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. Crystal 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
Crystal Broussard, FNP 4401 S Claiborne Ave, New Orleans, LA 70125-5105 Ph: (504) 891-7737	Crystal Broussard, FNP 203 Energy Pkwy, Lafayette, LA 70508-3815 Ph: (337) 266-8483

Reviews and Comments

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Crystal Broussard, FNP - Medicare Nurse Practitioner in Lafayette, LA