Mrs Chrisonia Reneice Broadnax, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fredericksburg, Virginia. Her current practice location is
205 Lookout Way, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(270) 303-9247.
Mrs Chrisonia Reneice Broadnax is licensed to practice in Virginia (license number 0904015868) 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 1770863979.
Healthcare Provider's Profile
Full Name | Mrs Chrisonia Reneice Broadnax |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 205 Lookout Way, Fredericksburg, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770863979
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375998909
- Enrollment ID: I20231017000822
Medical Identifiers
Medical identifiers for Mrs Chrisonia Reneice Broadnax such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770863979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34010681A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 0904015868 (Virginia) | 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. Mrs Chrisonia Reneice Broadnax allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320 |
---|
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. Mrs Chrisonia Reneice Broadnax 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 |
Mrs Chrisonia Reneice Broadnax, LCSW 205 Lookout Way, Fredericksburg, VA 22405-1244 Ph: (270) 303-9247 | Mrs Chrisonia Reneice Broadnax, LCSW 205 Lookout Way, Fredericksburg, VA 22405-1244 Ph: (270) 303-9247 |
Reviews and Comments