Jennifer Laura Broadt, PA is a medicare enrolled "Physician Assistant" in Tieton, Washington. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Comprehensive Healthcare and her current practice location is
915 Wisconsin Ave, Tieton, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 673-0044.
Jennifer Laura Broadt is licensed to practice in Washington (license number PA60703623) 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 1962869776.
Provider's Profile
| Full Name | Jennifer Laura Broadt |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 12 Years |
|---|
| Location | 915 Wisconsin Ave, Tieton, Washington |
|---|
| 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:
- Jennifer Laura Broadt graduated from nursing school in 2014
NPI Data:
- NPI Number: 1962869776
- Provider Enumeration Date: 01/25/2016
- Last Update Date: 12/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 2062716004
- Enrollment ID: I20161216001842
Medical Identifiers
Medical identifiers for Jennifer Laura Broadt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962869776 | NPI | - | NPPES |
| 354348001 | Medicaid | TX | |
| 354348002 | Other | TX | CSHCN MEDICAID |
| 8860NU | Other | TX | SOLO BCBS |
| 47272ZSJC | Other | TX | MEDICARE |
| P01610841 | Other | TX | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA60703623 (Washington) | Primary |
| 363A00000X | Physician Assistant | (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Comprehensive Healthcare | 7618875022 | 34 |
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. Jennifer Laura Broadt 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 |
|---|
Jennifer Laura Broadt, PA
501 S 5th Ave,
Yakima, WA 98902-3550
Ph: (509) 494-6700 | Jennifer Laura Broadt, PA
915 Wisconsin Ave,
Tieton, WA 98947-9802
Ph: (509) 673-0044 |
Reviews and Comments