Mr Jeremy William Brouillette, DPM in Southlake, TX

Mr Jeremy William Brouillette, DPM is a medicare enrolled "Podiatrist" provider in Southlake, Texas. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Healthdrive Podiatry Group Pc, Healthdrive Podiatry Group Pc and his current practice location is Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 424-3668.

Mr Jeremy William Brouillette is licensed to practice in Texas (license number 692085) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477969806.

Contact Information

	Mr Jeremy William Brouillette, DPM
	Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092-6526
	(817) 424-3668
	(817) 442-8637

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremy William Brouillette
Gender	Male
Speciality	Podiatry
Experience	12 Years
Location	Academy Foot & Ankle Specialists, Southlake, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeremy William Brouillette graduated from medical school in 2014

NPI Data:

NPI Number: 1477969806
Provider Enumeration Date: 07/07/2014
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 0749558252
Enrollment ID: I20170911000241

Medical Identifiers

Medical identifiers for Mr Jeremy William Brouillette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477969806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	10448 (West Virginia)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	0103301199 (Virginia)	Secondary
213E00000X	Podiatrist	692085 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medical City Denton	Denton, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthdrive Podiatry Group Pc	3375446958	103
Healthdrive Podiatry Group Pc	3375446958	103

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. Mr Jeremy William Brouillette allows following entities to bill medicare on his behalf.

Provider Name	Foot And Ankle Clinic Of The Virginias Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740227909 PECOS PAC ID: 7911948583 Enrollment ID: O20050720000358

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. Mr Jeremy William Brouillette 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
Mr Jeremy William Brouillette, DPM 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092-6526 Ph: (817) 424-3668	Mr Jeremy William Brouillette, DPM Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092-6526 Ph: (817) 424-3668

Reviews and Comments

Podiatrist in Southlake, TX

Mr. Fahad Aslam, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Academy Foot & Ankle Specialists, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Mr. Daniel Thomas Pierini, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Mr. Daniel Joshua Cairns, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E State Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Mr. Scott Benjamin Floyd, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Academy Foot & Ankle Specialist, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Paul Thomas Marciano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637

Mr Jeremy William Brouillette, DPM - Medicare Podiatrist in Southlake, TX