Miss Ingrid Broze, PMHNP-BC in Farmington Hills, MI

Miss Ingrid Broze, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Farmington Hills, Michigan. Her current practice location is 28580 Orchard Lake Rd Ste 104, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 865-7271.

Miss Ingrid Broze is licensed to practice in Michigan (license number 4704381868) 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 1235870007.

Contact Information

	Miss Ingrid Broze, PMHNP-BC
	28580 Orchard Lake Rd Ste 104, Farmington Hills, MI 48334-2988
	(248) 865-7271
	(248) 865-7274

Map and Direction

Provider's Profile

Full Name	Miss Ingrid Broze
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	28580 Orchard Lake Rd Ste 104, Farmington Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235870007
Provider Enumeration Date: 04/05/2022
Last Update Date: 01/24/2025

Medicare PECOS Information:

PECOS PAC ID: 9537509476
Enrollment ID: I20240425003173

Medical Identifiers

Medical identifiers for Miss Ingrid Broze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235870007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0035674 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704381868 (Michigan)	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. Miss Ingrid Broze allows following entities to bill medicare on her behalf.

Entity Name	Viaquest Psychiatric & Behavioral Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942451216 PECOS PAC ID: 1153358486 Enrollment ID: O20120926000142

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. Miss Ingrid Broze 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
Miss Ingrid Broze, PMHNP-BC 3124 Castlewood Ct, Wixom, MI 48393-1759 Ph: () -	Miss Ingrid Broze, PMHNP-BC 28580 Orchard Lake Rd Ste 104, Farmington Hills, MI 48334-2988 Ph: (248) 865-7271

Reviews and Comments

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Miss Ingrid Broze, PMHNP-BC - Medicare Nurse Practitioner in Farmington Hills, MI