Devon Broome, in Coon Rapids, MN - Medicare Marriage & Family Therapist Provider

Devon Broome, is a medicare enrolled "Marriage & Family Therapist" provider in Coon Rapids, Minnesota. His current practice location is 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 767-3350.

Devon Broome is licensed to practice in Minnesota (license number 3861) 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 1265189724.

Contact Information

	Devon Broome,
	11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638
	(763) 767-3350
	(763) 767-0912

Map and Direction

Healthcare Provider's Profile

Full Name	Devon Broome
Gender	Male
Speciality	Marriage & Family Therapist
Location	11660 Round Lake Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265189724
Provider Enumeration Date: 03/04/2022
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4981049020
Enrollment ID: I20240228004649

Medical Identifiers

Medical identifiers for Devon Broome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265189724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3861 (Minnesota)	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. Devon Broome allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Devon Broome 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
Devon Broome, 820 6th Ave Nw Apt 17, New Brighton, MN 55112-2744 Ph: () -	Devon Broome, 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: (763) 767-3350

Reviews and Comments

Marriage & Family Therapist in Coon Rapids, MN

Douglas P. Robinson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 306, Coon Rapids, MN 55433 Phone: 763-780-1520
Melanie Carlson-kappes, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350
Paul Reps, Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 612-440-1899
Laura Michelle Derosier-moran, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-363-6219
Ms. Julianne E. Love, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433 Phone: 612-968-0574
James B Benda, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-746-5068
Valissa Milanovich, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912

Devon Broome, - Medicare Couples Therapy in Coon Rapids, MN