Jennifer Laura Broadt, PA - Medicare Physician Assistant in Tieton, WA

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Jennifer Laura Broadt, PA is a medicare enrolled "Physician Assistant" in Tieton, Washington. Her current practice location is 915 Wisconsin Ave, Tieton, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 673-0044.

Jennifer Laura Broadt is licensed to practice in Washington (license number PA60703623) 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 1962869776.

Contact Information

Jennifer Laura Broadt, PA
915 Wisconsin Ave,
Tieton, WA 98947-9802
(509) 673-0044
(509) 673-0054

Map and Direction




Provider's Profile

Full NameJennifer Laura Broadt
GenderFemale
SpecialityPhysician Assistant
Location915 Wisconsin Ave, Tieton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962869776
  • Provider Enumeration Date: 01/25/2016
  • Last Update Date: 12/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2062716004
  • Enrollment ID: I20161216001842

Medical Identifiers

Medical identifiers for Jennifer Laura Broadt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962869776NPI-NPPES
354348001MedicaidTX
354348002OtherTXCSHCN MEDICAID
8860NUOtherTXSOLO BCBS
47272ZSJCOtherTXMEDICARE
P01610841OtherTXRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60703623 (Washington)Primary
363A00000XPhysician Assistant (Texas)Secondary

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. Jennifer Laura Broadt 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 AddressPractice Location Address
Jennifer Laura Broadt, PA
501 S 5th Ave,
Yakima, WA 98902-3550

Ph: (509) 494-6700		Jennifer Laura Broadt, PA
915 Wisconsin Ave,
Tieton, WA 98947-9802

Ph: (509) 673-0044

Reviews and Comments


Physician Assistant Nurses in Tieton, WA

Mr. Kevin Barry Fitzgerald, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 915 Wisconsin Ave, Tieton, WA 98947
Phone: 509-673-0044    Fax: 509-673-0054

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.