Jason Broussard, DO in Shreveport, LA

Jason Broussard, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Shreveport, Louisiana. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Access Serenity Of Louisiana Llc, Wk Center For Psychiatric Support and his current practice location is 1111 Line Ave Fl 3, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 716-4610.

Jason Broussard is licensed to practice in Louisiana (license number DO.000136) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376744771.

Contact Information

	Jason Broussard, DO
	1111 Line Ave Fl 3, Shreveport, LA 71101-3841
	(318) 716-4610
	(318) 716-4690

Map and Direction

Physician's Profile

Full Name	Jason Broussard
Gender	Male
Speciality	Psychiatry
Experience	18 Years
Location	1111 Line Ave Fl 3, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Broussard graduated from medical school in 2006

NPI Data:

NPI Number: 1376744771
Provider Enumeration Date: 05/31/2007
Last Update Date: 10/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2769508902
Enrollment ID: I20100925000012

Medical Identifiers

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

Identifier	Type	State	Issuer
1376744771	NPI	-	NPPES
1079243	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DO.000136 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Access Serenity Of Louisiana Llc	4385985803	5
Wk Center For Psychiatric Support	6406972645	8

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. Jason Broussard allows following entities to bill medicare on his behalf.

Entity Name	Wk Center For Psychiatric Support
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609194356 PECOS PAC ID: 6406972645 Enrollment ID: O20100925000006

Entity Name	Access Serenity Of Louisiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104378629 PECOS PAC ID: 4385985803 Enrollment ID: O20190410002760

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. Jason 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
Jason Broussard, DO 1111 Line Ave Fl 3, Shreveport, LA 71101-3841 Ph: (318) 716-4610	Jason Broussard, DO 1111 Line Ave Fl 3, Shreveport, LA 71101-3841 Ph: (318) 716-4610

Reviews and Comments

Psychiatry & Neurology Doctors in Shreveport, LA

Peimin Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Susan Ing, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Stoner Avenue, Shreveport, LA 71101 Phone: 318-221-8411
Izrail Abdurakhmanov, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Highway, Psychiatry, Shreveport, LA 71130 Phone: 318-626-2445
Richard Matthew Zweig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Neurology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666
Dr. Joseph Dedrick Jordan, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
John Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7330 Fern Ave Ste 704, Shreveport, LA 71105 Phone: 318-798-8261 Fax: 316-798-8263
Niroshan Sathivadivel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1006 Highland Ave, Shreveport, LA 71101 Phone: 877-678-7500

Jason Broussard, DO - Medicare Psychiatry in Shreveport, LA