Amanda Percle Broussard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Maurice, Louisiana. Her current practice location is
102 Jeanne Picard Dr, Maurice, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 776-6481.
Amanda Percle Broussard is licensed to practice in Louisiana (license number 12320) 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 1699362269.
Healthcare Provider's Profile
Full Name | Amanda Percle Broussard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 102 Jeanne Picard Dr, Maurice, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699362269
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618381195
- Enrollment ID: I20210125000025
Medical Identifiers
Medical identifiers for Amanda Percle Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699362269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 12320 (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. Amanda Percle Broussard allows following entities to bill medicare on her behalf.
Entity Name | Abbeville General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285779363 PECOS PAC ID: 8325933872 Enrollment ID: O20060217000566 |
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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. Amanda Percle 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 |
Amanda Percle Broussard, LCSW 102 Jeanne Picard Dr, Maurice, LA 70555-3780 Ph: (225) 776-6481 | Amanda Percle Broussard, LCSW 102 Jeanne Picard Dr, Maurice, LA 70555-3780 Ph: (225) 776-6481 |
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