Theresa Lebleu Broussard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lafayette, LA

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Theresa Lebleu Broussard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lafayette, Louisiana. Her current practice location is 2390 W Congress St, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 261-6027.

Theresa Lebleu Broussard is licensed to practice in Louisiana (license number 075438) 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
2390 W Congress St,
Lafayette, LA 70506-4205
(337) 261-6027
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Lebleu Broussard
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2390 W Congress St, Lafayette, Louisiana
Accepts Medicare AssignmentsMedicare 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: 09/16/2021
  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.
IdentifierTypeStateIssuer
1750392015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 814578 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered AP121714 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 075438 (Louisiana)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 NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053352914
PECOS PAC ID: 8224941265
Enrollment ID: O20031106000562
Entity NameKelsey-seybold Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204
Entity NameMedical Center Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265418222
PECOS PAC ID: 5294623971
Enrollment ID: O20040304001370
Entity NameNorthstar Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912978610
PECOS PAC ID: 7315907128
Enrollment ID: O20041015000685
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026664
PECOS PAC ID: 8022243971
Enrollment ID: O20131030000972
Entity NameHpanesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Theresa Lebleu Broussard, CRNA
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298

Ph: (713) 442-4997		Theresa Lebleu Broussard, CRNA
2390 W Congress St,
Lafayette, LA 70506-4205

Ph: (337) 261-6027

Reviews and Comments


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Dexter Paul Guidry Ii, CRNA
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Mr. Jude L Guillory, CRNA
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Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508
Phone: 337-988-5646    Fax: 337-988-4298

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.