Curtis A Broussard, MD in Gulfport, MS - Medicare General Practice

Curtis A Broussard, MD is a medicare enrolled "General Practice" physician in Gulfport, Mississippi. His current practice location is 12330 Ashley Dr, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 831-1572.

Curtis A Broussard is licensed to practice in Mississippi (license number 09015) 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 1447248661.

Contact Information

	Curtis A Broussard, MD
	12330 Ashley Dr, Gulfport, MS 39503-2737
	(228) 831-1572
	Not Available

Map and Direction

Physician's Profile

Full Name	Curtis A Broussard
Gender	Male
Speciality	General Practice
Location	12330 Ashley Dr, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447248661
Provider Enumeration Date: 10/11/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082634415
Enrollment ID: I20051130000840

Medical Identifiers

Medical identifiers for Curtis A Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447248661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	09015 (Mississippi)	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. Curtis A Broussard allows following entities to bill medicare on his behalf.

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497

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. Curtis A Broussard 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
Curtis A Broussard, MD 12330 Ashley Dr, Gulfport, MS 39503-2737 Ph: () -	Curtis A Broussard, MD 12330 Ashley Dr, Gulfport, MS 39503-2737 Ph: (228) 831-1572

Reviews and Comments

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Dr. Alexander Young, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: Nbhc Gulfport 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-871-4033
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Curtis A Broussard, MD - Medicare General Practice in Gulfport, MS