Anders Elle Broussard, DPT in South Boston, MA - Medicare Physical Therapist Provider

Anders Elle Broussard, DPT is a medicare enrolled "Physical Therapist" provider in South Boston, Massachusetts. Her current practice location is 386 W Broadway, South Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 752-4672.

Anders Elle Broussard is licensed to practice in Massachusetts (license number 25697) 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 1750057360.

Contact Information

	Anders Elle Broussard, DPT
	386 W Broadway, South Boston, MA 02127-2215
	(617) 752-4672
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anders Elle Broussard
Gender	Female
Speciality	Physical Therapist
Location	386 W Broadway, South Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750057360
Provider Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021

Medicare PECOS Information:

PECOS PAC ID: 3476958562
Enrollment ID: I20210827001877

Medical Identifiers

Medical identifiers for Anders Elle Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750057360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25697 (Massachusetts)	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. Anders Elle Broussard allows following entities to bill medicare on her behalf.

Provider Name	Outback Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114272515 PECOS PAC ID: 4688821101 Enrollment ID: O20120905000601

Provider Name	Bay State Physical Therapy Of Randolph Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187

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. Anders Elle 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
Anders Elle Broussard, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 807-6138	Anders Elle Broussard, DPT 386 W Broadway, South Boston, MA 02127-2215 Ph: (617) 752-4672

Reviews and Comments

Physical Therapist in South Boston, MA

Sarah Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672
Brendan Kirck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Old Colony Ave, South Boston, MA 02127 Phone: 781-664-9388
Mrs. Lisa M Scialla, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-752-4138 Fax: 617-752-4127
Emily Zarrilli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 E Broadway, South Boston, MA 02127 Phone: 860-803-2442
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672

Anders Elle Broussard, DPT - Medicare Physical Therapist in South Boston, MA