Mrs Jacqueline Broadway, LCMHC, LCAS - Counselor in Wilmington, NC

Mrs Jacqueline Broadway, LCMHC, LCAS is a Counselor - Mental Health based in Wilmington, North Carolina. Mrs Jacqueline Broadway is licensed to practice in North Carolina (license number 13518) and her current practice location is 5919 Oleander Dr Ste 121, Wilmington, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 210-6160.

NPI number for Mrs Jacqueline Broadway is 1861913097 and her current mailing address is 5919 Oleander Dr Ste 121, Wilmington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861913097.

Contact Information

Mrs Jacqueline Broadway, LCMHC, LCAS
5919 Oleander Dr Ste 121,
Wilmington, NC 28403-4757
(910) 210-6160
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Jacqueline Broadway
GenderFemale
SpecialityCounselor - Mental Health
Location5919 Oleander Dr Ste 121, Wilmington, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861913097
  • Provider Enumeration Date: 06/28/2017
  • Last Update Date: 09/20/2021

Medical Identifiers

Medical identifiers for Mrs Jacqueline Broadway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861913097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-23554 (North Carolina)Secondary
101YM0800XCounselor - Mental Health 13518 (North Carolina)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 Jacqueline Broadway 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 AddressPractice Location Address
Mrs Jacqueline Broadway, LCMHC, LCAS
5919 Oleander Dr Ste 121,
Wilmington, NC 28403-4757

Ph: () -
Mrs Jacqueline Broadway, LCMHC, LCAS
5919 Oleander Dr Ste 121,
Wilmington, NC 28403-4757

Ph: (910) 210-6160

Reviews and Comments


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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.

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