Shana Marie Broussard, - Medicare Nurse Practitioner in Vancleave, MS

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Shana Marie Broussard, is a medicare enrolled "Nurse Practitioner - Family" in Vancleave, Mississippi. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Springs Urgent Care, Orange Grove Urgent Care and her current practice location is 10404 Tucker Rd # Llc, Vancleave, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 354-9505.

Shana Marie Broussard is licensed to practice in Mississippi (license number 903748) 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 1134740798.

Contact Information

Shana Marie Broussard,
10404 Tucker Rd # Llc,
Vancleave, MS 39565-7922
(228) 354-9505
Not Available

Map and Direction




Provider's Profile

Full NameShana Marie Broussard
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location10404 Tucker Rd # Llc, Vancleave, Mississippi
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:
  • Shana Marie Broussard graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134740798
  • Provider Enumeration Date: 05/05/2020
  • Last Update Date: 06/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355763871
  • Enrollment ID: I20200629003038

Medical Identifiers

Medical identifiers for Shana Marie Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134740798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903748 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Springs Urgent Care024442619515
Orange Grove Urgent Care610397872110

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. Shana Marie Broussard allows following entities to bill medicare on her behalf.
Entity NameCoastal Family Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NameMaxem Health Urgent Care Diberville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265991608
PECOS PAC ID: 1759624968
Enrollment ID: O20190622000032

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. Shana Marie 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 AddressPractice Location Address
Shana Marie Broussard,
4511 Lynn Dr,
Biloxi, MS 39532-9477

Ph: (228) 860-1773		Shana Marie Broussard,
10404 Tucker Rd # Llc,
Vancleave, MS 39565-7922

Ph: (228) 354-9505

Reviews and Comments


Nurse Practitioner Nurses in Vancleave, MS

Kristina M Garlotte, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6300 E Lake Blvd Ste 201, Vancleave, MS 39565
Phone: 228-230-2663    Fax: 228-546-3257
Mrs. Victoria Burges Swynenberg, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10828 Highway 57, Vancleave, MS 39565
Phone: 228-374-2494    
Whitney W Moore, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11700 Highway 57, Vancleave, MS 39565
Phone: 228-826-1482    Fax: 228-826-5924
Brittany Mcelhaney, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565
Phone: 228-230-2663    Fax: 228-206-1192
Traci White, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18540 Highway 57, Vancleave, MS 39565
Phone: 228-324-5347    
Pooja Sharma, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10828 Highway 57, Vancleave, MS 39565
Phone: 603-930-3933    

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.