S Renee Broyles, APRN in Dayton, OH - Medicare Nurse Practitioner

S Renee Broyles, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Dayton, Ohio. Her current practice location is 6125 N Main St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

S Renee Broyles is licensed to practice in Ohio (license number 0027978) 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 1174118905.

Contact Information

	S Renee Broyles, APRN
	6125 N Main St, Dayton, OH 45415-3110
	(731) 394-1145
	Not Available

Map and Direction

Provider's Profile

Full Name	S Renee Broyles
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	6125 N Main St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174118905
Provider Enumeration Date: 03/03/2021
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4385013838
Enrollment ID: I20221206001389

Medical Identifiers

Medical identifiers for S Renee Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174118905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0027978 (Ohio)	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. S Renee Broyles allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967

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. S Renee 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
S Renee Broyles, APRN Po Box 19599, Belfast, ME 04915-4090 Ph: (731) 394-1145	S Renee Broyles, APRN 6125 N Main St, Dayton, OH 45415-3110 Ph: (731) 394-1145

Reviews and Comments

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S Renee Broyles, APRN - Medicare Nurse Practitioner in Dayton, OH