Mandy L Broussard, CRNA in Metairie, LA - Medicare Nurse Anesthetist, Certified Registered

Mandy L Broussard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Metairie, Louisiana. His current practice location is 3510 N Causeway Blvd, Suite 404, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 779-5515.

Mandy L Broussard is licensed to practice in Louisiana (license number RN108582) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124317565.

Contact Information

	Mandy L Broussard, CRNA
	3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531
	(504) 779-5515
	Not Available

Map and Direction

Provider's Profile

Full Name	Mandy L Broussard
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3510 N Causeway Blvd, Metairie, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124317565
Provider Enumeration Date: 04/06/2011
Last Update Date: 04/06/2011

Medicare PECOS Information:

PECOS PAC ID: 1557530920
Enrollment ID: I20110802000287

Medical Identifiers

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

Identifier	Type	State	Issuer
1124317565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN108582 (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. Mandy L Broussard allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Group Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117

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. Mandy L 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
Mandy L Broussard, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (800) 242-1131	Mandy L Broussard, CRNA 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531 Ph: (504) 779-5515

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Metairie, LA

Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515
Steve Gonzales, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5568
Ronald E. Bankert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515

Mandy L Broussard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Metairie, LA