Dr Andre Edmond Broussard, MD - Medicare Pediatrics in New York, NY

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Dr Andre Edmond Broussard, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in New York, New York. His current practice location is 1901 First Ave, 523, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6228.

Dr Andre Edmond Broussard is licensed to practice in New York (license number MD126425) 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 1710069695.

Contact Information

Dr Andre Edmond Broussard, MD
1901 First Ave, 523,
New York, NY 10029
(212) 423-6228
(212) 534-7831

Map and Direction




Physician's Profile

Full NameDr Andre Edmond Broussard
GenderMale
SpecialityPediatrics - Sports Medicine
Location1901 First Ave, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710069695
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 11/29/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244389328
  • Enrollment ID: I20090520000150

Medical Identifiers

Medical identifiers for Dr Andre Edmond Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710069695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine MD126425 (New York)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. Dr Andre Edmond Broussard allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171

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. Dr Andre Edmond 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 AddressPractice Location Address
Dr Andre Edmond Broussard, MD
1901 1st Ave, Room 523,
New York, NY 10029-7404

Ph: (212) 423-6228		Dr Andre Edmond Broussard, MD
1901 First Ave, 523,
New York, NY 10029

Ph: (212) 423-6228

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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