Mrs Cleon Sherrill Broussard, PT in Tecumseh, MI - Medicare Physical Therapist Provider

Mrs Cleon Sherrill Broussard, PT is a medicare enrolled "Physical Therapist - Pediatrics" provider in Tecumseh, Michigan. Her current practice location is 9224 Bramble Rd, Tecumseh, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 438-2169.

Mrs Cleon Sherrill Broussard is licensed to practice in Michigan (license number 5501007019) 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 1013992577.

Contact Information

	Mrs Cleon Sherrill Broussard, PT
	9224 Bramble Rd, Tecumseh, MI 49286-8712
	(517) 438-2169
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Cleon Sherrill Broussard
Gender	Female
Speciality	Physical Therapist - Pediatrics
Location	9224 Bramble Rd, Tecumseh, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013992577
Provider Enumeration Date: 12/07/2005
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 1658338132
Enrollment ID: I20041216000192

Medical Identifiers

Medical identifiers for Mrs Cleon Sherrill Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013992577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251S0007X	Physical Therapist - Sports	5501007019 (Michigan)	Secondary
2251X0800X	Physical Therapist - Orthopedic	5501007019 (Michigan)	Secondary
2251P0200X	Physical Therapist - Pediatrics	5501007019 (Michigan)	Primary
225100000X	Physical Therapist	5501007019 (Michigan)	Secondary
2251G0304X	Physical Therapist - Geriatrics	5501007019 (Michigan)	Secondary
2251N0400X	Physical Therapist - Neurology	5501007019 (Michigan)	Secondary

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 Cleon Sherrill Broussard allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701

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 Cleon Sherrill 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 Address	Practice Location Address
Mrs Cleon Sherrill Broussard, PT 9224 Bramble Rd, Tecumseh, MI 49286-8712 Ph: (517) 438-2169	Mrs Cleon Sherrill Broussard, PT 9224 Bramble Rd, Tecumseh, MI 49286-8712 Ph: (517) 438-2169

Reviews and Comments

Physical Therapist in Tecumseh, MI

Dr. Diana Michelle Schneider, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1434 W Chicago Blvd, Tecumseh, MI 49286 Phone: 517-424-8100
James Waters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5433 S Occidental Rd, Tecumseh, MI 49286 Phone: 517-424-8100
Andrea Lauderdale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 Burt St, Tecumseh, MI 49286 Phone: 734-417-0852
Jennifer Yape, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E Pottawatamie St, Tecumseh, MI 49286 Phone: 517-424-3239
Erin Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5433 S Occidental Rd, Tecumseh, MI 49286 Phone: 517-424-8100
Elizabeth Alcock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E Pottawatamie St, Tecumseh, MI 49286 Phone: 517-424-3239

Mrs Cleon Sherrill Broussard, PT - Medicare Physical Therapist in Tecumseh, MI