Tyler Broderick, MS, LPC in Buffalo, WY - Medicare Counselor Provider

Tyler Broderick, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Buffalo, Wyoming. His current practice location is 521 W Lott St, Buffalo, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 684-5531.

Tyler Broderick is licensed to practice in Wyoming (license number LPC-1434) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396080917.

Contact Information

	Tyler Broderick, MS, LPC
	521 W Lott St, Buffalo, WY 82834-1642
	(307) 684-5531
	(307) 684-2912

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Broderick
Gender	Male
Speciality	Counselor - Professional
Location	521 W Lott St, Buffalo, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396080917
Provider Enumeration Date: 12/07/2012
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 8022460773
Enrollment ID: I20240117004839

Medical Identifiers

Medical identifiers for Tyler Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396080917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PPC721 (Wyoming)	Secondary
101YP2500X	Counselor - Professional	LPC-1434 (Wyoming)	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. Tyler Broderick allows following entities to bill medicare on his behalf.

Entity Name	Volunteers Of America Northern Rockies
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012

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. Tyler Broderick 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
Tyler Broderick, MS, LPC 909 Long Dr Ste C, Sheridan, WY 82801-3282 Ph: (307) 672-8958	Tyler Broderick, MS, LPC 521 W Lott St, Buffalo, WY 82834-1642 Ph: (307) 684-5531

Reviews and Comments

Counselor in Buffalo, WY

Rose M Harriet, LPC Counselor Medicare: Medicare Enrolled Practice Location: 140 S Main St, Buffalo, WY 82834 Phone: 307-217-2161 Fax: 307-201-0442
Madonna Bell Esponda, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 334 Western Ave, Buffalo, WY 82834 Phone: 307-620-0533
Shaynie J Mcrae, PPC, PMH-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 S Main St, Buffalo, WY 82834 Phone: 406-853-3938
Starrlee Heady, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 W Lott St, Buffalo, WY 82834 Phone: 307-684-5531
Dr. Eldon Clifford, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Hilltop Dr, Buffalo, WY 82834 Phone: 307-620-5245
Mrs. Adrianne M Stensaas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 482 Muddy Creek Rd, Buffalo, WY 82834 Phone: 307-247-3338 Fax: 307-684-8960

Tyler Broderick, MS, LPC - Medicare Counselor in Buffalo, WY