Kim P Broussard, CRNA in Lafayette, LA - Medicare Certified Registered Nurse Anesthetist (crna)

Kim P Broussard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lafayette, Louisiana. He graduated from nursing school in 1983 and has 41 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesiology And Pain Consultants Llc and his current practice location is 1101 S College Rd, Suite 100, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 233-8603.

Kim P Broussard is licensed to practice in Louisiana (license number RN037148/AP02026) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578523718.

Contact Information

	Kim P Broussard, CRNA
	1101 S College Rd, Suite 100, Lafayette, LA 70503-3038
	(337) 233-8603
	Not Available

Map and Direction

Provider's Profile

Full Name	Kim P Broussard
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	41 Years
Location	1101 S College Rd, Lafayette, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kim P Broussard graduated from nursing school in 1983

NPI Data:

NPI Number: 1578523718
Provider Enumeration Date: 03/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608832837
Enrollment ID: I20041208000982

Medical Identifiers

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

Identifier	Type	State	Issuer
1578523718	NPI	-	NPPES
1902764	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN037148/AP02026 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Place Surgical Hospital	Lafayette, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesiology And Pain Consultants Llc	3870490402	45

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. Kim P Broussard allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology & Pain Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841287901 PECOS PAC ID: 3870490402 Enrollment ID: O20031212000737

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

Entity Name	Lafayette General Endoscopy Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376828202 PECOS PAC ID: 9335162486 Enrollment ID: O20111017000062

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. Kim P 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
Kim P Broussard, CRNA Po Box 1447, Abbeville, LA 70511-1447 Ph: (337) 898-2803	Kim P Broussard, CRNA 1101 S College Rd, Suite 100, Lafayette, LA 70503-3038 Ph: (337) 233-8603

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lafayette, LA

Charles L. Papadakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298
Mr. Stephen Kyle Chauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 314 Youngsville Hwy, Lafayette, LA 70508 Phone: 337-706-1500
Brittany Dibetta Belk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Republic Ave, Apt 6105, Lafayette, LA 70508 Phone: 504-451-4464
Paula L. Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546
Mr. Bowen J Landry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Saint Landry St, Lafayette, LA 70506 Phone: 337-289-2966 Fax: 337-289-2776
Dexter Paul Guidry Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 Fax: 337-988-4298
Mr. Jude L Guillory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298

Kim P Broussard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lafayette, LA