Kelly Broussard, in Slidell, LA - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly Broussard, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Slidell, Louisiana. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lafayette Health Ventures Inc and her current practice location is 1700 Lindberg Dr, Slidell, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 649-4063.

Kelly Broussard is licensed to practice in Louisiana (license number 07870) 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 1538561048.

Contact Information

	Kelly Broussard,
	1700 Lindberg Dr, Slidell, LA 70458-8062
	(985) 649-4063
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Broussard
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	1700 Lindberg Dr, Slidell, Louisiana
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:

Kelly Broussard graduated from nursing school in 2014

NPI Data:

NPI Number: 1538561048
Provider Enumeration Date: 09/16/2014
Last Update Date: 02/24/2016

Medicare PECOS Information:

PECOS PAC ID: 7113149931
Enrollment ID: I20141112000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1538561048	NPI	-	NPPES
2378040	Medicaid	LA
01676750	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	07870 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lafayette General Medical Center	Lafayette, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lafayette Health Ventures Inc	9335043074	227

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. Kelly Broussard allows following entities to bill medicare on her behalf.

Entity Name	Ochsner Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513

Entity Name	Louisiana State University School Of Medicine In New Orleans Faculty G
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661

Entity Name	Northlake Anesthesiologists, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306949185 PECOS PAC ID: 3072597681 Enrollment ID: O20040614000209

Entity Name	Lafayette Health Ventures Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263

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. Kelly 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
Kelly Broussard, 4664 Painters St, New Orleans, LA 70122-5002 Ph: () -	Kelly Broussard, 1700 Lindberg Dr, Slidell, LA 70458-8062 Ph: (985) 649-4063

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Slidell, LA

Patrick M Fried, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Dr, Slidell, LA 70458 Phone: 985-641-8008 Fax: 985-649-4063
Susan J. Aycock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767
Geoffrey S Fendley, MSNA, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200
Christopher Trainor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200
Catherine Parmley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-892-3225 Fax: 985-234-0628
Judith S. Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767
Catherine M Marrione, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767

Kelly Broussard, - Medicare Certified Registered Nurse Anesthetist (crna) in Slidell, LA