Rebecca Broderick, ACNPC-AG, BSN, RN in Lacey, WA

Rebecca Broderick, ACNPC-AG, BSN, RN is a medicare enrolled "Nurse Practitioner" in Lacey, Washington. Her current practice location is 677 Woodland Square Loop Se Ste D7, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (703) 447-6155.

Rebecca Broderick is licensed to practice in Washington (license number 61413663-NP) 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 1629755657.

Contact Information

	Rebecca Broderick, ACNPC-AG, BSN, RN
	677 Woodland Square Loop Se Ste D7, Lacey, WA 98503-1000
	(703) 447-6155
	Not Available

Map and Direction

Provider's Profile

Full Name	Rebecca Broderick
Gender	Female
Speciality	Nurse Practitioner
Location	677 Woodland Square Loop Se Ste D7, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629755657
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0244676575
Enrollment ID: I20240308003642

Medical Identifiers

Medical identifiers for Rebecca Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629755657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	61413663-NP (Washington)	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. Rebecca Broderick allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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. Rebecca Broderick 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
Rebecca Broderick, ACNPC-AG, BSN, RN 18824 Mountain Point Dr, Eagle River, AK 99577-8555 Ph: (703) 447-6155	Rebecca Broderick, ACNPC-AG, BSN, RN 677 Woodland Square Loop Se Ste D7, Lacey, WA 98503-1000 Ph: (703) 447-6155

Reviews and Comments

Nurse Practitioner Nurses in Lacey, WA

Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200
Consilia Samkia Yeluma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-8951
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225
Meghan Neal, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312

Rebecca Broderick, ACNPC-AG, BSN, RN - Medicare Nurse Practitioner in Lacey, WA