Emily Nicole Broad, LSW in Moraine, OH - Medicare Clinical Social Worker Provider

Emily Nicole Broad, LSW is a medicare enrolled "Social Worker - Clinical" provider in Moraine, Ohio. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychological And Behavioral Consultants Llc and her current practice location is 3095 Kettering Blvd, Moraine, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-8300.

Emily Nicole Broad is licensed to practice in Ohio (license number I.2103012) 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 1043725971.

Contact Information

	Emily Nicole Broad, LSW
	3095 Kettering Blvd, Moraine, OH 45439-1983
	(937) 293-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Nicole Broad
Gender	Female
Speciality	Clinical Social Worker
Experience	5 Years
Location	3095 Kettering Blvd, Moraine, Ohio
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:

Emily Nicole Broad graduated from medical school in 2019

NPI Data:

NPI Number: 1043725971
Provider Enumeration Date: 12/14/2017
Last Update Date: 08/20/2021

Medicare PECOS Information:

PECOS PAC ID: 2961808878
Enrollment ID: I20210901000601

Medical Identifiers

Medical identifiers for Emily Nicole Broad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043725971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2103012 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological And Behavioral Consultants Llc	0446243760	335

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. Emily Nicole Broad allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363

Entity Name	South Community Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427289818 PECOS PAC ID: 7315971066 Enrollment ID: O20050921001092

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. Emily Nicole Broad 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
Emily Nicole Broad, LSW 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: () -	Emily Nicole Broad, LSW 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300

Reviews and Comments

Social Worker in Moraine, OH

Elizabeth Liapis, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347
Pamela Bailey, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Dawn Marie Dickman, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481
Jarhal Duncan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347
Mrs. Ashley Diane Leblanc, MSW/LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Ciara Nicole Blake, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300

Emily Nicole Broad, LSW - Medicare Clinical Social Worker in Moraine, OH