Latasha Broomfield, MA, LPC, NCC, CACI in Edgefield, SC

Latasha Broomfield, MA, LPC, NCC, CACI is a medicare enrolled "Counselor - Professional" provider in Edgefield, South Carolina. Her current practice location is 409 Simpkins St, Edgefield, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 637-5788.

Latasha Broomfield is licensed to practice in South Carolina (license number 6126) 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 1699192096.

Contact Information

	Latasha Broomfield, MA, LPC, NCC, CACI
	409 Simpkins St, Edgefield, SC 29824-1313
	(803) 637-5788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Latasha Broomfield
Gender	Female
Speciality	Counselor - Professional
Location	409 Simpkins St, Edgefield, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699192096
Provider Enumeration Date: 03/24/2014
Last Update Date: 12/07/2016

Medicare PECOS Information:

PECOS PAC ID: 0446782841
Enrollment ID: I20241009004578

Medical Identifiers

Medical identifiers for Latasha Broomfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699192096	NPI	-	NPPES
421504	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6126 (South Carolina)	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. Latasha Broomfield allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041

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. Latasha Broomfield 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
Latasha Broomfield, MA, LPC, NCC, CACI 409 Simpkins St, Edgefield, SC 29824-1313 Ph: (803) 637-5788	Latasha Broomfield, MA, LPC, NCC, CACI 409 Simpkins St, Edgefield, SC 29824-1313 Ph: (803) 637-5788

Reviews and Comments

Counselor in Edgefield, SC

Mrs. Gail Butler Smith, M. ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753
Ms. Carole Ann Chidley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753
Ms. Myrdis Y. Sheppard, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5338 Fax: 803-637-0753
Ms. Winifred Jean Eubanks, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788
Mrs. Cheryl H Lindler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-5788 Fax: 803-637-0753
Ms. Sherry Leigh Paschal, CPSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Simpkins St, Edgefield, SC 29824 Phone: 803-637-7588

Latasha Broomfield, MA, LPC, NCC, CACI - Medicare Counselor in Edgefield, SC