Mrs Mary Elizabeth Broussard, BA, BS in Lafayette, LA - Medicare Occupational Therapist Provider

Mrs Mary Elizabeth Broussard, BA, BS is a medicare enrolled "Occupational Therapist" provider in Lafayette, Louisiana. Her current practice location is 107 Briarmeadow Dr, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 857-1331.

Mrs Mary Elizabeth Broussard is licensed to practice in Louisiana (license number Z11181) 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 1386837953.

Contact Information

	Mrs Mary Elizabeth Broussard, BA, BS
	107 Briarmeadow Dr, Lafayette, LA 70508-7210
	(337) 857-1331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Elizabeth Broussard
Gender	Female
Speciality	Occupational Therapist
Location	107 Briarmeadow Dr, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386837953
Provider Enumeration Date: 08/27/2007
Last Update Date: 08/27/2007

Medicare PECOS Information:

PECOS PAC ID: 9638530900
Enrollment ID: I20230802003410

Medical Identifiers

Medical identifiers for Mrs Mary Elizabeth Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386837953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	Z11181 (Louisiana)	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. Mrs Mary Elizabeth Broussard allows following entities to bill medicare on her behalf.

Provider Name	Synergy Care Southeast Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624

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 Mary Elizabeth 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 Mary Elizabeth Broussard, BA, BS 107 Briarmeadow Dr, Lafayette, LA 70508-7210 Ph: (337) 857-1331	Mrs Mary Elizabeth Broussard, BA, BS 107 Briarmeadow Dr, Lafayette, LA 70508-7210 Ph: (337) 857-1331

Reviews and Comments

Occupational Therapist in Lafayette, LA

Brittany Hull, MOT, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Rena Dr, Lafayette, LA 70503 Phone: 337-304-6040
Miss Ellen Moosa, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Energy Pkwy, Lafayette, LA 70508 Phone: 337-504-4244 Fax: 337-706-7612
Skyllar Burke, MOT, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Demanade Blvd, Lafayette, LA 70503 Phone: 337-534-8978 Fax: 337-284-3040
Acadian Physical Therapy Services, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 400 Polly Ln, Suite 160, Lafayette, LA 70508 Phone: 337-500-1300 Fax: 337-406-8042
Guy B Guidry, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Doucet Rd, A-2, Lafayette, LA 70503 Phone: 337-945-6174 Fax: 337-216-7787
Jessica Lane Riddle, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Energy Pkwy, Lafayette, LA 70508 Phone: 337-504-4244
Allison Istre Lagasse, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Englewood Dr, Lafayette, LA 70503 Phone: 337-984-6520

Mrs Mary Elizabeth Broussard, BA, BS - Medicare Occupational Therapist in Lafayette, LA