Kali A Broussard, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Maurice, Louisiana. Her current practice location is
9610 Maurice Ave, Maurice, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 470-3131.
Kali A Broussard is licensed to practice in Louisiana (license number 338039) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023549409.
Physician's Profile
Full Name | Kali A Broussard |
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Gender | Female |
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Speciality | Pediatrics - Pediatric Infectious Diseases |
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Location | 9610 Maurice Ave, Maurice, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023549409
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325317803
- Enrollment ID: I20211208002866
Medical Identifiers
Medical identifiers for Kali A Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023549409 | NPI | - | NPPES |
0468063 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 338039 (Louisiana) | Secondary |
208000000X | Pediatrics | 35.139496 (Ohio) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 35.139496 (Ohio) | Secondary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 338039 (Louisiana) | 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. Kali A Broussard allows following entities to bill medicare on her behalf.
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
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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. Kali A 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 |
Kali A Broussard, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 470-3131 | Kali A Broussard, MD 9610 Maurice Ave, Maurice, LA 70555-3255 Ph: (337) 470-3131 |
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