Mary E Broughton, PA-C - Medicare Physician Assistant in Crystal, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. Crystal
Mary E Broughton, PA-C is a medicare enrolled "Physician Assistant - Medical" in Crystal, Minnesota. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Clinic Pa and her current practice location is 5109 36th Ave N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 587-7900.

Mary E Broughton is licensed to practice in Minnesota (license number 10288) 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 1487844734.

Contact Information

Mary E Broughton, PA-C
5109 36th Ave N,
Crystal, MN 55422-2007
(763) 587-7900
(763) 587-7989

Map and Direction




Provider's Profile

Full NameMary E Broughton
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location5109 36th Ave N, Crystal, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary E Broughton graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1487844734
  • Provider Enumeration Date: 08/01/2007
  • Last Update Date: 11/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830284421
  • Enrollment ID: I20070927000290

Medical Identifiers

Medical identifiers for Mary E Broughton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487844734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 10288 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adara Home Health IncBuffalo, MNHome health agency
Centerwell Home HealthBrooklyn park, MNHome health agency
North Memorial Health - Robbinsdale HospitalRobbinsdale, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Clinic Pa276938420550

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. Mary E Broughton allows following entities to bill medicare on her behalf.
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470
Entity NameNorth Clinic PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114962206
PECOS PAC ID: 2769384205
Enrollment ID: O20040123000954

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. Mary E Broughton 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 AddressPractice Location Address
Mary E Broughton, PA-C
9201 W Broadway Ave Ste 601,
Brooklyn Park, MN 55445-1924

Ph: (763) 587-7900		Mary E Broughton, PA-C
5109 36th Ave N,
Crystal, MN 55422-2007

Ph: (763) 587-7900

Reviews and Comments


Physician Assistant Nurses in Crystal, MN

Mrs. Katherine Rose Clark, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5109 36th Ave N, Crystal, MN 55422
Phone: 763-587-7999    Fax: 763-587-7989
Stephanie Albrecht Lee, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Bottineau Blvd Ste 100, Crystal, MN 55429
Phone: 763-504-6500    
Mrs. Katherine Mccourt Robinson Larson, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4725 36th Ave N, Crystal, MN 55422
Phone: 218-208-2058    
Sara Lynn Budhoo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429
Phone: 763-504-6550    
Lisa Lapointe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5109 36th Ave N, Crystal, MN 55422
Phone: 763-587-7900    Fax: 763-587-7989
Lisa Legvold, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4725 36th Ave N, Crystal, MN 55422
Phone: 218-208-2058    
Tammy Gregerson, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5502 W Broadway Ave, Crystal, MN 55428
Phone: 763-504-6500    Fax: 763-504-6544

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.