Mary Jo Broussard, | |
1541 Tulane Ave, New Orleans, LA 70112-2821 | |
(504) 903-1301 | |
Not Available |
Full Name | Mary Jo Broussard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 1541 Tulane Ave, New Orleans, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285844571 | NPI | - | NPPES |
046359-3340 | Other | LA | STATE BOARD NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 046359-3340 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center New Orleans | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Center Management Corporation | 7012150311 | 64 |
Entity Name | University Medical Center Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
Mailing Address | Practice Location Address |
---|---|
Mary Jo Broussard, 1541 Tulane Ave, New Orleans, LA 70112-2821 Ph: () - | Mary Jo Broussard, 1541 Tulane Ave, New Orleans, LA 70112-2821 Ph: (504) 903-1301 |
Tammy Ann Francipane, RNC CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Elaine Alleman, NP, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335 Audubon Blvd, New Orleans, LA 70125 Phone: 985-264-8037 Fax: 504-865-0371 | |
Adrienne A. Truxillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3900 | |
Dr. Demetrius James Porche, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Gravier St, New Orleans, LA 70112 Phone: 504-568-4106 | |
Emily P Landry, APRN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Napoleon Ave, New Orleans, LA 70115 Phone: 504-894-2050 | |
Ms. Leontine Maxine Trought, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 S Broad St, New Orleans, LA 70125 Phone: 504-383-8559 Fax: 504-371-5162 | |
Camille Yount, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Prytania St Ste 501, New Orleans, LA 70115 Phone: 504-895-3676 |