Miss Lauren Michelle Broussard, LCSW in Winston, OR

Miss Lauren Michelle Broussard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Winston, Oregon. Her current practice location is 671 Sw Main St, Winston, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 492-4550.

Miss Lauren Michelle Broussard is licensed to practice in Oregon (license number L10925) 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 1922358720.

Contact Information

	Miss Lauren Michelle Broussard, LCSW
	671 Sw Main St, Winston, OR 97496-6571
	(541) 492-4550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Lauren Michelle Broussard
Gender	Female
Speciality	Social Worker - Clinical
Location	671 Sw Main St, Winston, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922358720
Provider Enumeration Date: 09/19/2012
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3476931759
Enrollment ID: I20220526002288

Medical Identifiers

Medical identifiers for Miss Lauren Michelle Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922358720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L10925 (Oregon)	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. Miss Lauren Michelle Broussard allows following entities to bill medicare on her behalf.

Entity Name	Adapt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327

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. Miss Lauren Michelle 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
Miss Lauren Michelle Broussard, LCSW Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 492-4550	Miss Lauren Michelle Broussard, LCSW 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550

Reviews and Comments

Social Worker in Winston, OR

Louis Darling, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-492-4550 Fax: 541-492-4553
Mrs. Lisa Crawford, CSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Nw Cary St, Winston, OR 97496 Phone: 501-791-6810
Ms. Kimie Ann Frakes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 775-722-9847 Fax: 775-322-1957
Ms. Kathryn Elizabeth Dailey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 671 Sw Main, Winston, OR 97496 Phone: 541-679-6129 Fax: 541-679-5285

Miss Lauren Michelle Broussard, LCSW - Medicare Clinical Social Worker in Winston, OR