Carla Marie Broderick, APRN in Louisville, KY

Carla Marie Broderick, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Louisville, Kentucky. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Centers, Inc. and her current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-8631.

Carla Marie Broderick is licensed to practice in Kentucky (license number 3002744) 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 1033115878.

Contact Information

	Carla Marie Broderick, APRN
	2215 Portland Ave, Louisville, KY 40212
	(502) 774-8631
	(502) 996-8309

Map and Direction

Provider's Profile

Full Name	Carla Marie Broderick
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	2215 Portland Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carla Marie Broderick graduated from nursing school in 1998

NPI Data:

NPI Number: 1033115878
Provider Enumeration Date: 06/27/2005
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2264534387
Enrollment ID: I20070220000772

Medical Identifiers

Medical identifiers for Carla Marie Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033115878	NPI	-	NPPES
000000200893	Other	KY	ANTHEM
78009859	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	3002744 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Health Centers, Inc.	6901700053	44

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. Carla Marie Broderick allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045

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. Carla Marie Broderick 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
Carla Marie Broderick, APRN Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700	Carla Marie Broderick, APRN 2215 Portland Ave, Louisville, KY 40212 Ph: (502) 774-8631

Reviews and Comments

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Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Carla Marie Broderick, APRN - Medicare Nurse Practitioner in Louisville, KY