Kelby Broddie, LMFT in Bellingham, WA - Medicare Marriage & Family Therapist Provider

Kelby Broddie, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bellingham, Washington. His current practice location is 4350 Cordata Pkwy Ste 102, Bellingham, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 922-6977.

Kelby Broddie is licensed to practice in Washington (license number LF61239188) 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 1760032379.

Contact Information

	Kelby Broddie, LMFT
	4350 Cordata Pkwy Ste 102, Bellingham, WA 98226-8278
	(360) 922-6977
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelby Broddie
Gender	Male
Speciality	Marriage & Family Therapist
Location	4350 Cordata Pkwy Ste 102, Bellingham, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760032379
Provider Enumeration Date: 09/16/2019
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 4688019326
Enrollment ID: I20240304002360

Medical Identifiers

Medical identifiers for Kelby Broddie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760032379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LF61239188 (Washington)	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. Kelby Broddie allows following entities to bill medicare on his behalf.

Entity Name	Accent Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770009557 PECOS PAC ID: 3375996572 Enrollment ID: O20240124001261

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. Kelby Broddie 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
Kelby Broddie, LMFT 4350 Cordata Pkwy Ste 102, Bellingham, WA 98226-8278 Ph: (360) 922-6977	Kelby Broddie, LMFT 4350 Cordata Pkwy Ste 102, Bellingham, WA 98226-8278 Ph: (360) 922-6977

Reviews and Comments

Marriage & Family Therapist in Bellingham, WA

Mr. Virgil Raymond Suess Jr., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 192 E Bakerview Rd, Suite #102, Bellingham, WA 98226 Phone: 360-676-9535 Fax: 360-733-4339
Ms. Laurie E Werbner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2334 King St, Bellingham, WA 98225 Phone: 510-548-6547
Sonia Rae, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1140 10th St, Suite 209, Bellingham, WA 98225 Phone: 360-329-2055 Fax: 360-547-7780
Sandra Andress, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1108 11th St Ste 304, Bellingham, WA 98225 Phone: 360-733-1922
Mr. Ryan Lee Mcmiller, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 609 Northshore Dr, Bellingham, WA 98226 Phone: 208-946-0910
Autumn Baughn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4350 Cordata Pkwy Ste 102, Bellingham, WA 98226 Phone: 360-325-2374
Christina Elizabeth Wolf, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4575 Vining Rd, Bellingham, WA 98226 Phone: 360-961-9028

Kelby Broddie, LMFT - Medicare Couples Therapy in Bellingham, WA