Dr Latresia Grace Broussard, DC is a medicare enrolled "Chiropractor" provider in New Roads, Louisiana. She went to Logan College Of Chiropractic and graduated in 1998 and has 26 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
331 Hospital Rd, New Roads, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 618-8016.
Dr Latresia Grace Broussard is licensed to practice in Louisiana (license number 1307) 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 1679648109.
Healthcare Provider's Profile
Full Name | Dr Latresia Grace Broussard |
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Gender | Female |
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Speciality | Chiropractic |
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Experience | 26 Years |
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Location | 331 Hospital Rd, New Roads, Louisiana |
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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 Latresia Grace Broussard attended and graduated from Logan College Of Chiropractic in 1998
NPI Data:
- NPI Number: 1679648109
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436165701
- Enrollment ID: I20060224000147
Medical Identifiers
Medical identifiers for Dr Latresia Grace Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679648109 | NPI | - | NPPES |
1509060 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1307 (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. Dr Latresia Grace Broussard allows following entities to bill medicare on her behalf.
Provider Name | Broussard Chiropractic Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1366590648 PECOS PAC ID: 3375559743 Enrollment ID: O20060223000113 |
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Provider Name | Capitol Spine And Rehabilitation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1366692535 PECOS PAC ID: 8527198803 Enrollment ID: O20100612000157 |
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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 Latresia Grace 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 Latresia Grace Broussard, DC 331 Hospital Rd, New Roads, LA 70760-2622 Ph: (225) 618-8016 | Dr Latresia Grace Broussard, DC 331 Hospital Rd, New Roads, LA 70760-2622 Ph: (225) 618-8016 |
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