Ms Dina Broussard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mamou, Louisiana. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1510 Napoleon St, Mamou, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 468-2333.
Ms Dina Broussard is licensed to practice in Louisiana (license number 6039) 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 1275675043.
Healthcare Provider's Profile
Full Name | Ms Dina Broussard |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 25 Years |
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Location | 1510 Napoleon St, Mamou, 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:
- Ms Dina Broussard graduated from medical school in 1999
NPI Data:
- NPI Number: 1275675043
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698041630
- Enrollment ID: I20171019000875
Medical Identifiers
Medical identifiers for Ms Dina Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275675043 | NPI | - | NPPES |
6039 | Other | LA | LCSW LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6039 (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. Ms Dina Broussard allows following entities to bill medicare on her behalf.
Entity Name | Dina Broussard Lcsw Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598287468 PECOS PAC ID: 4789950726 Enrollment ID: O20171019000786 |
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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. Ms Dina 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 |
Ms Dina Broussard, LCSW 300 South St, Mamou, LA 70554-4422 Ph: (337) 468-5959 | Ms Dina Broussard, LCSW 1510 Napoleon St, Mamou, LA 70554-2320 Ph: (337) 468-2333 |
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