Jessica Broadhead, CRNA in San Antonio, TX - Medicare Nurse Anesthetist, Certified Registered

Jessica Broadhead, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Antonio, Texas. Her current practice location is 4502 Medical Dr, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 567-4500.

Jessica Broadhead is licensed to practice in Texas (license number 1090647) 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 1962114330.

Contact Information

	Jessica Broadhead, CRNA
	4502 Medical Dr, San Antonio, TX 78229-4402
	(210) 567-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Broadhead
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	4502 Medical Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962114330
Provider Enumeration Date: 12/16/2022
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7911379664
Enrollment ID: I20230207001935

Medical Identifiers

Medical identifiers for Jessica Broadhead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962114330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1090647 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1090647 (Texas)	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. Jessica Broadhead allows following entities to bill medicare on her behalf.

Entity Name	Community Medicine Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372

Entity Name	University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

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. Jessica Broadhead 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
Jessica Broadhead, CRNA 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 567-4500	Jessica Broadhead, CRNA 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 567-4500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Antonio, TX

Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000

Jessica Broadhead, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Antonio, TX