Ms Ezrikai Broam, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Tulsa, Oklahoma. She graduated from healthcare school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Improving Lives Counseling Services Inc and her current practice location is
6216 S Lewis Ave Ste 180, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 960-7852.
Ms Ezrikai Broam is licensed to practice in Oklahoma (license number 3928) 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 1093951709.
Healthcare Provider's Profile
| Full Name | Ms Ezrikai Broam |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 19 Years |
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| Location | 6216 S Lewis Ave Ste 180, Tulsa, Oklahoma |
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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. |
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Medical Education and Training:
- Ms Ezrikai Broam graduated from medical school in 2006
NPI Data:
- NPI Number: 1093951709
- Provider Enumeration Date: 12/30/2008
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840444832
- Enrollment ID: I20130128000417
Medical Identifiers
Medical identifiers for Ms Ezrikai Broam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093951709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1039 (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3928 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Improving Lives Counseling Services Inc | 3870818230 | 28 |
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 Ezrikai Broam allows following entities to bill medicare on her behalf.
| Entity Name | Improving Lives Counseling Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487967444
PECOS PAC ID: 3870818230
Enrollment ID: O20150206001731 |
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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 Ezrikai Broam 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 |
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Ms Ezrikai Broam, LCSW, LADC
6216 S Lewis Ave Ste 180,
Tulsa, OK 74136-1077
Ph: (918) 960-7852 | Ms Ezrikai Broam, LCSW, LADC
6216 S Lewis Ave Ste 180,
Tulsa, OK 74136-1077
Ph: (918) 960-7852 |
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