Latricia Broaddus, in Aylett, VA - Medicare Nurse Practitioner

Latricia Broaddus, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Aylett, Virginia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 5833 Richmond Tappahannock Hwy Ste 106b, Aylett, Virginia. You can reach out to her office (for appointments etc.) via phone at (042) 230-0298.

Latricia Broaddus is licensed to practice in Virginia (license number 0024181570) 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 1003383688.

Contact Information

	Latricia Broaddus,
	5833 Richmond Tappahannock Hwy Ste 106b, Aylett, VA 23009-3007
	(042) 230-0298
	Not Available

Map and Direction

Provider's Profile

Full Name	Latricia Broaddus
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	5833 Richmond Tappahannock Hwy Ste 106b, Aylett, Virginia
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:

Latricia Broaddus graduated from nursing school in 2021

NPI Data:

NPI Number: 1003383688
Provider Enumeration Date: 10/31/2018
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5294132148
Enrollment ID: I20210921000794

Medical Identifiers

Medical identifiers for Latricia Broaddus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003383688	NPI	-	NPPES
0732762767	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024181570 (Virginia)	Primary
253Z00000X	In Home Supportive Care	(* (Not Available))	Secondary

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. Latricia Broaddus allows following entities to bill medicare on her behalf.

Entity Name	Old Towne Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487855003 PECOS PAC ID: 7618149865 Enrollment ID: O20111011000695

Entity Name	Its All About Caring Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548995913 PECOS PAC ID: 3375911548 Enrollment ID: O20221118001049

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. Latricia Broaddus 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
Latricia Broaddus, Po Box 13, Saint Stephens Church, VA 23148-0013 Ph: (804) 664-2271	Latricia Broaddus, 5833 Richmond Tappahannock Hwy Ste 106b, Aylett, VA 23009-3007 Ph: (042) 230-0298

Reviews and Comments

Nurse Practitioner Nurses in Aylett, VA

Mrs. Molly Baldwin Massey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342
Sara Eleanor Hooper Majewski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, King William Medical Center, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342
Phyllis R. Sykes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11814 King William Rd, Aylett, VA 23009 Phone: 804-769-3022 Fax: 804-769-1253
Andrea Garrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, Aylett, VA 23009 Phone: 804-769-1245
Britten White, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Laurel Dr, Aylett, VA 23009 Phone: 804-885-0565
Angel Daniels, DNP, FNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 18, Aylett, VA 23009 Phone: 804-769-1245

Latricia Broaddus, - Medicare Nurse Practitioner in Aylett, VA