Antonio Demarcus Broadway Sr, is a
Case Manager/care Coordinator based in Baton Rouge, Louisiana. Antonio Demarcus Broadway Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
5810 Mccann Dr, Baton Rouge, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(225) 221-7831.
NPI number for Antonio Demarcus Broadway Sr is 1538672399 and his current mailing address is 5810 Mccann Dr, Baton Rouge, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538672399.
Healthcare Provider's Profile
Full Name | Antonio Demarcus Broadway Sr |
---|
Gender | Male |
---|
Speciality | Case Manager/care Coordinator |
---|
Location | 5810 Mccann Dr, Baton Rouge, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538672399
- Provider Enumeration Date: 11/14/2017
- Last Update Date: 06/16/2018
Medical Identifiers
Medical identifiers for Antonio Demarcus Broadway Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538672399 | NPI | - | NPPES |
0000 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Antonio Demarcus Broadway Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Antonio Demarcus Broadway Sr, 5810 Mccann Dr, Baton Rouge, LA 70809-4149 Ph: (225) 221-7831 | Antonio Demarcus Broadway Sr, 5810 Mccann Dr, Baton Rouge, LA 70809-4149 Ph: (225) 221-7831 |
Reviews and Comments