Deborah Ann Broadley, NP in Wethersfield, CT - Medicare Nurse Practitioner

Deborah Ann Broadley, NP is a medicare enrolled "Nurse Practitioner - Family" in Wethersfield, Connecticut. Her current practice location is 30 Jordan Ln, Wethersfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 263-0253.

Deborah Ann Broadley is licensed to practice in Connecticut (license number 3754) 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 1558531996.

Contact Information

	Deborah Ann Broadley, NP
	30 Jordan Ln, Wethersfield, CT 06109-1278
	(860) 263-0253
	(860) 263-0262

Map and Direction

Provider's Profile

Full Name	Deborah Ann Broadley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	30 Jordan Ln, Wethersfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558531996
Provider Enumeration Date: 02/29/2008
Last Update Date: 12/02/2014

Medicare PECOS Information:

PECOS PAC ID: 6800948324
Enrollment ID: I20090715000020

Medical Identifiers

Medical identifiers for Deborah Ann Broadley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558531996	NPI	-	NPPES
008004412	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	003754 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	3754 (Connecticut)	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. Deborah Ann Broadley allows following entities to bill medicare on her behalf.

Entity Name	Michael D Bergman Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639526890 PECOS PAC ID: 0749574291 Enrollment ID: O20160808000368

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. Deborah Ann Broadley 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
Deborah Ann Broadley, NP 30 Jordan Ln, Wethersfield, CT 06109-1278 Ph: (860) 263-0253	Deborah Ann Broadley, NP 30 Jordan Ln, Wethersfield, CT 06109-1278 Ph: (860) 263-0253

Reviews and Comments

Nurse Practitioner Nurses in Wethersfield, CT

Leah Cipollone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1283 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-249-8659
Raluca Schuster, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 988 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-493-1951
Lisa Michele Halpern, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1260 Silas Deane Hwy, Hartford Hospital Neurology Dept, Wethersfield, CT 06109 Phone: 860-696-2820
Kimberly Keegan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3480
Kristin Elek, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy Ste 106, Wethersfield, CT 06109 Phone: 860-258-3477
Katie Vigil, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-258-3477
Ms. Patrice Mary Horan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Jordan Lane, Prime Healthcare, Wethersfield, CT 06109 Phone: 860-263-0263 Fax: 860-263-0567

Deborah Ann Broadley, NP - Medicare Nurse Practitioner in Wethersfield, CT