Mrs Gwendolyn Broyles, PMHNP in Osage Beach, MO

Mrs Gwendolyn Broyles, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Osage Beach, Missouri. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osage Beach Center For Behavioral Health, Llc and her current practice location is 840 Passover Rd, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 302-0319.

Mrs Gwendolyn Broyles is licensed to practice in Missouri (license number 2017008864) 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 1497282008.

Contact Information

	Mrs Gwendolyn Broyles, PMHNP
	840 Passover Rd, Osage Beach, MO 65065-2834
	(573) 302-0319
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Gwendolyn Broyles
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	840 Passover Rd, Osage Beach, Missouri
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:

Mrs Gwendolyn Broyles graduated from nursing school in 2016

NPI Data:

NPI Number: 1497282008
Provider Enumeration Date: 05/12/2017
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6800134222
Enrollment ID: I20190211001497

Medical Identifiers

Medical identifiers for Mrs Gwendolyn Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497282008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0810X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family	2016032658 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2017008864 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osage Beach Center For Behavioral Health, Llc	2062649288	4

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. Mrs Gwendolyn Broyles allows following entities to bill medicare on her behalf.

Entity Name	Missouri State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073600334 PECOS PAC ID: 7214919661 Enrollment ID: O20040601001151

Entity Name	Osage Beach Center For Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790115939 PECOS PAC ID: 2062649288 Enrollment ID: O20140927000268

Entity Name	Lake Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366037764 PECOS PAC ID: 5597171736 Enrollment ID: O20210312000449

Entity Name	Hope Connections, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548686066 PECOS PAC ID: 6507250677 Enrollment ID: O20220307001610

Entity Name	Serenity Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104569151 PECOS PAC ID: 3375920861 Enrollment ID: O20220523002493

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. Mrs Gwendolyn Broyles 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
Mrs Gwendolyn Broyles, PMHNP 840 Passover Rd, Osage Beach, MO 65065-2834 Ph: (573) 302-0319	Mrs Gwendolyn Broyles, PMHNP 840 Passover Rd, Osage Beach, MO 65065-2834 Ph: (573) 302-0319

Reviews and Comments

Nurse Practitioner Nurses in Osage Beach, MO

Hailey Dunn, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-3999 Fax: 573-302-2751
Maury Rose Hefele, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38 Buoyant Pl, Osage Beach, MO 65065 Phone: 573-673-4584
Jeannie M. Carlton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 102, Osage Beach, MO 65065 Phone: 573-348-8045 Fax: 573-348-8046
Brandi Nicole Kincaid, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2772 Fax: 573-302-2264
Hallie Jean Willis, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2715 Fax: 573-302-2713
Mrs. Megan A Ray, WHNP-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065 Phone: 573-302-2764 Fax: 573-302-2767
Lyndsay D Funke, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-3199 Fax: 573-302-3198

Mrs Gwendolyn Broyles, PMHNP - Medicare Nurse Practitioner in Osage Beach, MO