Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC in Ardmore, OK

Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC is a medicare enrolled "Nurse Practitioner - Family" in Ardmore, Oklahoma. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrated Wound Specialists Of North Carolina, Pllc and her current practice location is 1001 12th Ave Nw, Ardmore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 220-6290.

Mrs Jamilia Lashawn Broussard is licensed to practice in Texas (license number AP136689) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184122145.

Contact Information

	Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC
	1001 12th Ave Nw, Ardmore, OK 73401-5712
	(580) 220-6290
	(580) 220-6215

Map and Direction

Provider's Profile

Full Name	Mrs Jamilia Lashawn Broussard
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1001 12th Ave Nw, Ardmore, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jamilia Lashawn Broussard graduated from nursing school in 2017

NPI Data:

NPI Number: 1184122145
Provider Enumeration Date: 01/24/2018
Last Update Date: 08/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6800144916
Enrollment ID: I20220805000516

Medical Identifiers

Medical identifiers for Mrs Jamilia Lashawn Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184122145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	821209 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP136689 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health Of Fayetteville	Fayetteville, NC	Home health agency
Encompass Health Home Health	Lexington, NC	Home health agency
Firsthealth Moore Regional Hospital	Pinehurst, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Wound Specialists Of North Carolina, Pllc	7810172616	19

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. Mrs Jamilia Lashawn Broussard allows following entities to bill medicare on her behalf.

Entity Name	Integrated Wound Specialists Of North Carolina, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558666776 PECOS PAC ID: 7810172616 Enrollment ID: O20110420000583

Entity Name	Chma Of Nc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982364469 PECOS PAC ID: 5092108605 Enrollment ID: O20220203000311

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. Mrs Jamilia Lashawn 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
Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC Po Box 678219, Dallas, TX 75267-8219 Ph: (214) 970-6817	Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC 1001 12th Ave Nw, Ardmore, OK 73401-5712 Ph: (580) 220-6290

Reviews and Comments

Nurse Practitioner Nurses in Ardmore, OK

Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284
Toni Headstream, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989
Quashonda Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Monroe St Nw, Ardmore, OK 73401 Phone: 580-504-2082 Fax: 580-226-5918
Angela Donnice Amparano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-4580

Mrs Jamilia Lashawn Broussard, MSN RN FNP-BC WCC - Medicare Nurse Practitioner in Ardmore, OK