Dr Toby D Broussard, MD in Edmond, OK

Dr Toby D Broussard, MD is a medicare enrolled "Surgery" physician in Edmond, Oklahoma. His current practice location is 1800 Renaissance Blvd, 2nd Floor, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 359-2473.

Dr Toby D Broussard is licensed to practice in Oklahoma (license number 24881) 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 1770587636.

Contact Information

	Dr Toby D Broussard, MD
	1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023
	(405) 359-2473
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Toby D Broussard
Gender	Male
Speciality	Surgery
Location	1800 Renaissance Blvd, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770587636
Provider Enumeration Date: 06/09/2005
Last Update Date: 06/07/2011

Medicare PECOS Information:

PECOS PAC ID: 4880632272
Enrollment ID: I20090105000036

Medical Identifiers

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

Identifier	Type	State	Issuer
1770587636	NPI	-	NPPES
1989592	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	20450 (Louisiana)	Secondary
208600000X	Surgery	24881 (Oklahoma)	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 Toby D Broussard allows following entities to bill medicare on his behalf.

Entity Name	Transforming Lives Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689729907 PECOS PAC ID: 2264621507 Enrollment ID: O20110118000821

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 Toby D 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 Toby D Broussard, MD 1800 Renaissance Blvd, Edmond, OK 73013-3023 Ph: (405) 359-2473	Dr Toby D Broussard, MD 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 Ph: (405) 359-2473

Reviews and Comments

Surgery Doctors in Edmond, OK

Stephen W Mihalsky, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave, Suite 407, Edmond, OK 73034 Phone: 405-348-5060 Fax: 405-348-7508
Joshua P Carey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4833 Integris Pkwy, Suite 350, Edmond, OK 73034 Phone: 405-657-3690 Fax: 405-552-5143
Dr. Carl J Gilbert, MD Surgery Medicare: Medicare Enrolled Practice Location: 4509 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3195 Fax: 405-657-3193
Dr. Sylvia Susana Gray, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 Phone: 405-757-3340 Fax: 405-757-3341
Dr. Ernestine Carol Shires, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3325 S Boulevard Ste 113, Edmond, OK 73013 Phone: 405-330-7000
Matthew Tyler Marr, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4509 Integris Pkwy Ste 300, Edmond, OK 73034 Phone: 405-657-3704 Fax: 405-657-3892
Dr. Larry E Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5809 Havenshire Ln, Edmond, OK 73034 Phone: 580-421-5815

Dr Toby D Broussard, MD - Medicare Surgery in Edmond, OK