Mr Nicholas Paul Broussard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maurice, Louisiana. His current practice location is
5113 La Premiere Dr, Maurice, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 278-0037.
Mr Nicholas Paul Broussard is licensed to practice in Louisiana (license number AP05366) 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 1578755104.
Provider's Profile
Full Name | Mr Nicholas Paul Broussard |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 5113 La Premiere Dr, Maurice, Louisiana |
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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:
- Mr Nicholas Paul Broussard attended and graduated from in
NPI Data:
- NPI Number: 1578755104
- Provider Enumeration Date: 08/17/2007
- Last Update Date: 10/09/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Nicholas Paul Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578755104 | NPI | - | NPPES |
1315397 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN108764 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP05366 (Louisiana) | Primary |
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 Nicholas Paul 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 |
Mr Nicholas Paul Broussard, CRNA 5113 La Premiere Dr, Maurice, LA 70555-3764 Ph: (337) 278-0037 | Mr Nicholas Paul Broussard, CRNA 5113 La Premiere Dr, Maurice, LA 70555-3764 Ph: (337) 278-0037 |
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