Mr John Michael Broyles, CRNP in Pittsburgh, PA

Mr John Michael Broyles, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Pittsburgh, Pennsylvania. His current practice location is 3705 5th Ave, Pediatric Pulmonology, Pittsburgh, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 692-5630.

Mr John Michael Broyles is licensed to practice in Pennsylvania (license number SP007539) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598803967.

Contact Information

	Mr John Michael Broyles, CRNP
	3705 5th Ave, Pediatric Pulmonology, Pittsburgh, PA 15213-2584
	(412) 692-5630
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Michael Broyles
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	3705 5th Ave, Pittsburgh, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598803967
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5496156382
Enrollment ID: I20210629003526

Medical Identifiers

Medical identifiers for Mr John Michael Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598803967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP007539 (Pennsylvania)	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. Mr John Michael Broyles allows following entities to bill medicare on his behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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. Mr John Michael 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
Mr John Michael Broyles, CRNP 1207 Trevanion Ave, Pittsburgh, PA 15218-1018 Ph: (412) 247-5620	Mr John Michael Broyles, CRNP 3705 5th Ave, Pediatric Pulmonology, Pittsburgh, PA 15213-2584 Ph: (412) 692-5630

Reviews and Comments

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Erin S Vita, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4727 Friendship Ave Ste 200, Pittsburgh, PA 15224 Phone: 412-235-5810 Fax: 412-235-5890
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Mr John Michael Broyles, CRNP - Medicare Nurse Practitioner in Pittsburgh, PA