Dr John Broussard, MD in Galveston, TX

Dr John Broussard, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Galveston, Texas. His current practice location is 901 Harborside Dr, Galveston, Texas. You can reach out to his office (for appointments etc.) via phone at (786) 843-7869.

Dr John Broussard is licensed to practice in Texas (license number U4750) 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 1326509977.

Contact Information

	Dr John Broussard, MD
	901 Harborside Dr, Galveston, TX 77550
	(786) 843-7869
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Broussard
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	901 Harborside Dr, Galveston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326509977
Provider Enumeration Date: 03/27/2019
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6103263033
Enrollment ID: I20240327000958

Medical Identifiers

Medical identifiers for Dr John Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326509977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	U4750 (Texas)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	U4750 (Texas)	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 John Broussard allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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 John 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
Dr John Broussard, MD 4119 Avenue T 1/2 Unit Rr, Galveston, TX 77550-8649 Ph: (786) 843-7869	Dr John Broussard, MD 901 Harborside Dr, Galveston, TX 77550 Ph: (786) 843-7869

Reviews and Comments

Pathology Doctors in Galveston, TX

Stephen M Pustilnik, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0890 Fax: 409-772-0885
Mariangela Gomez Ferrer, MD Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-5683
Mukhayyo Ismailova, Pathology Medicare: Not Enrolled in Medicare Practice Location: 711 Holiday Dr Apt 21, Galveston, TX 77550 Phone: 346-289-0878
Dmitrii Vozniuk, Pathology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2856
Eduardo Javier Eyzaguirre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222
Yadira Elizabeth Chavez, Pathology Medicare: Not Enrolled in Medicare Practice Location: 712 Texas Ave, Galveston, TX 77555 Phone: 409-772-1011
Paul J Boor, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222

Dr John Broussard, MD - Medicare Pathology in Galveston, TX