Mrs Sandra Bernette Broomfield, NURSE PRACTITIONER in Macon, GA

Mrs Sandra Bernette Broomfield, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Macon, Georgia. Her current practice location is 575 1st St, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 742-7566.

Mrs Sandra Bernette Broomfield is licensed to practice in Georgia (license number RN159851) 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 1760948434.

Contact Information

	Mrs Sandra Bernette Broomfield, NURSE PRACTITIONER
	575 1st St, Macon, GA 31201-2825
	(478) 742-7566
	(478) 743-2804

Map and Direction

Provider's Profile

Full Name	Mrs Sandra Bernette Broomfield
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	575 1st St, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760948434
Provider Enumeration Date: 02/18/2019
Last Update Date: 09/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7416280110
Enrollment ID: I20190612001598

Medical Identifiers

Medical identifiers for Mrs Sandra Bernette Broomfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760948434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN159851 (Georgia)	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. Mrs Sandra Bernette Broomfield allows following entities to bill medicare on her behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

Entity Name	Georgia Heart Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407994437 PECOS PAC ID: 0345204418 Enrollment ID: O20041118000000

Entity Name	New Horizon Primary Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770794851 PECOS PAC ID: 5991989014 Enrollment ID: O20110413000662

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 Sandra Bernette Broomfield 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 Sandra Bernette Broomfield, NURSE PRACTITIONER 575 1st St, Macon, GA 31201-2825 Ph: (478) 742-7566	Mrs Sandra Bernette Broomfield, NURSE PRACTITIONER 575 1st St, Macon, GA 31201-2825 Ph: (478) 742-7566

Reviews and Comments

Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550

Mrs Sandra Bernette Broomfield, NURSE PRACTITIONER - Medicare Nurse Practitioner in Macon, GA