Dr Crystal N Broussard, MD - Medicare Gastroenterology in Emerson, NJ

Dr Crystal N Broussard, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Emerson, New Jersey. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Mpv New Jersey Md Services Pc and her current practice location is 466 Old Hook Rd, Suite 1, Emerson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 967-8221.

Dr Crystal N Broussard is licensed to practice in New Jersey (license number 69764) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114955846.

Contact Information

Dr Crystal N Broussard, MD
466 Old Hook Rd, Suite 1,
Emerson, NJ 07630-1396
(201) 967-8221
(201) 634-9647

Map and Direction




Physician's Profile

Full NameDr Crystal N Broussard
GenderFemale
SpecialityGastroenterology
Experience32 Years
Location466 Old Hook Rd, Emerson, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Crystal N Broussard attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1992
  NPI Data:
  • NPI Number: 1114955846
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193749950
  • Enrollment ID: I20060119000322

Medical Identifiers

Medical identifiers for Dr Crystal N Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114955846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 69764 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley HospitalRidgewood, NJHospital
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mpv New Jersey Md Services Pc5991097669122

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 Crystal N Broussard allows following entities to bill medicare on her behalf.
Entity NamePremier Medical Alliance Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093142895
PECOS PAC ID: 8123258118
Enrollment ID: O20140314000017
Entity NameMpv New Jersey Md Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215391271
PECOS PAC ID: 5991097669
Enrollment ID: O20160718000760

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 Crystal N 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 Crystal N Broussard, MD
26 Lincoln Ave,
West Orange, NJ 07052-2312

Ph: (973) 762-4466
Dr Crystal N Broussard, MD
466 Old Hook Rd, Suite 1,
Emerson, NJ 07630-1396

Ph: (201) 967-8221

Reviews and Comments


Internal Medicine Doctors in Emerson, NJ

Tracy Lynne Walker, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630
Phone: 201-967-8221    
Dr. Holly Cullen, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 466 Old Hook Rd, Suite 1, Emerson, NJ 07630
Phone: 201-967-8221    
Amy G Ali, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630
Phone: 201-666-3900    Fax: 201-261-0505
Dr. Robert H Pittman, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 466 Old Hook Rd, Suite 1, Emerson, NJ 07630
Phone: 201-967-8221    Fax: 201-634-9647
Dr. David Goldstein, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630
Phone: 201-666-3900    Fax: 201-261-0505
Dr. Jeffrey S. Kim, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 466 Old Hook Rd, Suite 26, Emerson, NJ 07630
Phone: 201-261-0821    Fax: 201-261-0823
Sandeep Kour, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630
Phone: 201-967-8221    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.