Laura Broussard, APRN is a medicare enrolled "Nurse Practitioner - Family" in Royal City, Washington. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Center Of Northeast Oklahoma, Inc, Community Health Center Of Northeast Oklahoma, Inc and her current practice location is
103 Camelia St, Royal City, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 663-8711.
Laura Broussard is licensed to practice in Washington (license number AP61075750) 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 1174632954.
Provider's Profile
| Full Name | Laura Broussard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 103 Camelia St, Royal City, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laura Broussard graduated from nursing school in 2004
NPI Data:
- NPI Number: 1174632954
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 06/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577662725
- Enrollment ID: I20070628000379
Medical Identifiers
Medical identifiers for Laura Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174632954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP61075750 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Health Center Of Northeast Oklahoma, Inc | 9133352081 | 5 |
| Community Health Center Of Northeast Oklahoma, Inc | 9133352081 | 5 |
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. Laura Broussard allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Of Northeast Oklahoma, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821410648
PECOS PAC ID: 9133352081
Enrollment ID: O20140610000303 |
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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. Laura 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 |
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Laura Broussard, APRN
820 N Chelan Ave,
Wenatchee, WA 98801-2028
Ph: (509) 663-8711 | Laura Broussard, APRN
103 Camelia St,
Royal City, WA 99357
Ph: (509) 663-8711 |
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