Lisa Ann Broyles, FNP is a medicare enrolled "Clinical Nurse Specialist - Long-term Care" in Centerville, Indiana. Her current practice location is
705 E Main St, Centerville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 855-3424.
Lisa Ann Broyles is licensed to practice in Indiana (license number 28133360A) 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 1376376236.
Provider's Profile
Full Name | Lisa Ann Broyles |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Long-term Care |
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Location | 705 E Main St, Centerville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376376236
- Provider Enumeration Date: 08/24/2024
- Last Update Date: 08/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557802683
- Enrollment ID: I20240917002018
Medical Identifiers
Medical identifiers for Lisa Ann Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376376236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SL0600X | Clinical Nurse Specialist - Long-term Care | 28133360A (Indiana) | 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. Lisa Ann Broyles allows following entities to bill medicare on her behalf.
Entity Name | Midwest Post Acute Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20170127000348 |
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Entity Name | Midwest Post Acute Care Aco Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457926537 PECOS PAC ID: 2961804976 Enrollment ID: O20210714000468 |
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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. Lisa Ann Broyles 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 |
Lisa Ann Broyles, FNP 705 E Main St, Centerville, IN 47330-9676 Ph: (765) 855-3424 | Lisa Ann Broyles, FNP 705 E Main St, Centerville, IN 47330-9676 Ph: (765) 855-3424 |
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