Dr Kelly M Broussard, DPT in Annapolis, MD - Medicare Physical Therapy Provider

Dr Kelly M Broussard, DPT is a medicare enrolled "Physical Therapist" provider in Annapolis, Maryland. She went to Drexel University College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Emergeortho Pa and her current practice location is 2327 Forest Dr Ste D, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 782-7243.

Dr Kelly M Broussard is licensed to practice in Maryland (license number 27089) 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 1801433958.

Contact Information

	Dr Kelly M Broussard, DPT
	2327 Forest Dr Ste D, Annapolis, MD 21401-3865
	(443) 782-7243
	(410) 881-6514

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly M Broussard
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	2327 Forest Dr Ste D, Annapolis, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly M Broussard attended and graduated from Drexel University College Of Medicine in 2018

NPI Data:

NPI Number: 1801433958
Provider Enumeration Date: 12/09/2019
Last Update Date: 12/09/2019

Medicare PECOS Information:

PECOS PAC ID: 0244664902
Enrollment ID: I20230130000000

Medical Identifiers

Medical identifiers for Dr Kelly M Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801433958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27089 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergeortho Pa	0749188894	587

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. Dr Kelly M Broussard allows following entities to bill medicare on her behalf.

Provider Name	Emergeortho Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000

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. Dr Kelly M 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
Dr Kelly M Broussard, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222	Dr Kelly M Broussard, DPT 2327 Forest Dr Ste D, Annapolis, MD 21401-3865 Ph: (443) 782-7243

Reviews and Comments

Physical Therapist in Annapolis, MD

Chesapeake Lymphedema And Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3212 Chrisland Dr, Annapolis, MD 21403 Phone: 443-510-2932
Hsu Huei Thigpen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 205 Ridgely Ave, Annapolis, MD 21401 Phone: 443-433-0468
Dr. Katherine Ann Noblitt, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 127 Lubrano Dr Ste 203, Annapolis, MD 21401 Phone: 570-662-2317
Dr. Craig Trueblood, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Parkway, Belcher Pavillion, Suite 404, Annapolis, MD 21401 Phone: 443-481-1140
Kristen Czerwinski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 Medical Pkwy Ste 404, Annapolis, MD 21401 Phone: 443-481-1140
Privia Medical Group, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 George Ave, Annapolis, MD 21401 Phone: 443-441-0631
Mr. Jeremy Wayne Cugle, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2448 Holly Ave, Suite 200, Annapolis, MD 21401 Phone: 410-295-4941 Fax: 410-295-5207

Dr Kelly M Broussard, DPT - Medicare Physical Therapist in Annapolis, MD