Mrs Willow Nicole Broaddus, LCMHC, LPC, MA - Medicare Counselor in Granville, VT

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Mrs Willow Nicole Broaddus, LCMHC, LPC, MA is a medicare enrolled "Counselor - Mental Health" provider in Granville, Vermont. Her current practice location is 138 Old Stage Rd, Granville, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 565-7124.

Mrs Willow Nicole Broaddus is licensed to practice in Vermont (license number 068.0134330) 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 1205407970.

Contact Information

Mrs Willow Nicole Broaddus, LCMHC, LPC, MA
138 Old Stage Rd,
Granville, VT 05747-9675
(802) 565-7124
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Willow Nicole Broaddus
GenderFemale
SpecialityCounselor - Mental Health
Location138 Old Stage Rd, Granville, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205407970
  • Provider Enumeration Date: 07/05/2021
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325499932
  • Enrollment ID: I20240311003491

Medical Identifiers

Medical identifiers for Mrs Willow Nicole Broaddus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205407970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 068.0134330 (Vermont)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. Mrs Willow Nicole Broaddus 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 AddressPractice Location Address
Mrs Willow Nicole Broaddus, LCMHC, LPC, MA
Po Box 165,
Hancock, VT 05748-0165

Ph: (802) 565-7124		Mrs Willow Nicole Broaddus, LCMHC, LPC, MA
138 Old Stage Rd,
Granville, VT 05747-9675

Ph: (802) 565-7124

Reviews and Comments


Counselor in Granville, VT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.