Theresa Lebleu Broussard, CRNA in Dallas, TX - Medicare Nurse Anesthetist, Certified Registered

Theresa Lebleu Broussard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. Her current practice location is 12222 Merit Dr Ste 600, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 715-5000.

Theresa Lebleu Broussard is licensed to practice in Texas (license number AP121714) 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 1750392015.

Contact Information

	Theresa Lebleu Broussard, CRNA
	12222 Merit Dr Ste 600, Dallas, TX 75251-3294
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Theresa Lebleu Broussard
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	12222 Merit Dr Ste 600, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750392015
Provider Enumeration Date: 08/11/2006
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2062416449
Enrollment ID: I20130919000067

Medical Identifiers

Medical identifiers for Theresa Lebleu Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750392015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	814578 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	075438 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP121714 (Texas)	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. Theresa Lebleu Broussard allows following entities to bill medicare on her behalf.

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562

Entity Name	U S Anesthesia Partners Of Texas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563

Entity Name	Kelsey-seybold Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204

Entity Name	Medical Center Anesthesia Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265418222 PECOS PAC ID: 5294623971 Enrollment ID: O20040304001370

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972

Entity Name	Hpanesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528585916 PECOS PAC ID: 5799044780 Enrollment ID: O20180119002571

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. Theresa Lebleu 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
Theresa Lebleu Broussard, CRNA 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-4997	Theresa Lebleu Broussard, CRNA 12222 Merit Dr Ste 600, Dallas, TX 75251-3294 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jeannie K Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976

Theresa Lebleu Broussard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dallas, TX