Dominique Broutin, MD in Orlando, FL - Medicare Internal Medicine

Dominique Broutin, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Orlando, Florida. Her current practice location is 3113 Lawton Rd Ste 100, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 894-3241.

Dominique Broutin is licensed to practice in Florida (license number ME163046) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194228924.

Contact Information

	Dominique Broutin, MD
	3113 Lawton Rd Ste 100, Orlando, FL 32803-3519
	(407) 894-3241
	(407) 896-9863

Map and Direction

Physician's Profile

Full Name	Dominique Broutin
Gender	Female
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	3113 Lawton Rd Ste 100, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194228924
Provider Enumeration Date: 03/18/2018
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7719346600
Enrollment ID: I20230711000748

Medical Identifiers

Medical identifiers for Dominique Broutin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194228924	NPI	-	NPPES
118632800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	ME163046 (Florida)	Primary
261QS1000X	Clinic/center - Student Health	(* (Not Available))	Secondary

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. Dominique Broutin allows following entities to bill medicare on her behalf.

Entity Name	Orlando Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

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. Dominique Broutin 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
Dominique Broutin, MD 3113 Lawton Rd Ste 100, Orlando, FL 32803-3519 Ph: (407) 894-3241	Dominique Broutin, MD 3113 Lawton Rd Ste 100, Orlando, FL 32803-3519 Ph: (407) 894-3241

Reviews and Comments

Internal Medicine Doctors in Orlando, FL

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Dominique Broutin, MD - Medicare Internal Medicine in Orlando, FL