Ms Cynthia Denise Broadnax, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Woodlawn, Maryland. Her current practice location is
6660 Security Blvd, Woodlawn, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 380-0552.
Ms Cynthia Denise Broadnax is licensed to practice in Maryland (license number R125951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710971221.
Provider's Profile
| Full Name | Ms Cynthia Denise Broadnax |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6660 Security Blvd, Woodlawn, Maryland |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710971221
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022051671
- Enrollment ID: I20050606000541
Medical Identifiers
Medical identifiers for Ms Cynthia Denise Broadnax such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710971221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | R125951 (Maryland) | 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. Ms Cynthia Denise Broadnax allows following entities to bill medicare on her behalf.
| Entity Name | Maryland General Clinical Practice Group, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770684805 PECOS PAC ID: 8123926649 Enrollment ID: O20041109000226 |
|---|
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. Ms Cynthia Denise Broadnax 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 |
Ms Cynthia Denise Broadnax, MSN, CRNP Po Box 22389, Pmb 82739, Nashville, TN 37202-2389 Ph: (866) 315-2626 | Ms Cynthia Denise Broadnax, MSN, CRNP 6660 Security Blvd, Woodlawn, MD 21207-4012 Ph: (443) 380-0552 |
Reviews and Comments