| Renee Broussard, FNP | |
|
2645 Nall St, Port Neches, TX 77651-4707 | |
| (409) 210-3336 | |
| Not Available |
| Full Name | Renee Broussard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2645 Nall St, Port Neches, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316478506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133639 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Tx Pa | 4789950247 | 76 |
| Entity Name | Centerwell Senior Primary Care Tx Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861959298 PECOS PAC ID: 4789950247 Enrollment ID: O20190327001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Broussard, FNP 2645 Nall St, Port Neches, TX 77651-4707 Ph: (409) 210-3336 | Renee Broussard, FNP 2645 Nall St, Port Neches, TX 77651-4707 Ph: (409) 210-3336 |
Penny Vayon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Audubon Pl, Port Neches, TX 77651 Phone: 409-728-4543 | |
Madison Leigh Krautz, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2246 Nall St, Port Neches, TX 77651 Phone: 409-344-4010 Fax: 409-344-9147 | |
Mrs. Gayla Hamby Baker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2645 Nall St., Port Neches, TX 77651 Phone: 409-729-3393 Fax: 409-729-4404 | |
Ms. Deborah Darlene Vanover, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2246 Nall St, Port Neches, TX 77651 Phone: 409-722-4400 Fax: 409-722-4409 | |
Victoria Marie Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2234 Nederland Ave, Port Neches, TX 77651 Phone: 409-722-5533 | |
Ms. Erin Rutledge Shaw, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 882 Sierra Dr, Port Neches, TX 77651 Phone: 409-722-1234 Fax: 877-831-8991 |