Traci L Broidrick, CRNP in Allentown, PA - Medicare Nurse Practitioner

Traci L Broidrick, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Allentown, Pennsylvania. Her current practice location is 1200 S Cedar Crest Blvd, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 402-8111.

Traci L Broidrick is licensed to practice in Pennsylvania (license number SP011049) 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 1154624732.

Contact Information

	Traci L Broidrick, CRNP
	1200 S Cedar Crest Blvd, Allentown, PA 18103-6202
	(610) 402-8111
	(610) 402-1698

Map and Direction

Provider's Profile

Full Name	Traci L Broidrick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1200 S Cedar Crest Blvd, Allentown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154624732
Provider Enumeration Date: 12/21/2010
Last Update Date: 05/19/2016

Medicare PECOS Information:

PECOS PAC ID: 7719168517
Enrollment ID: I20110228000516

Medical Identifiers

Medical identifiers for Traci L Broidrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154624732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP011049 (Pennsylvania)	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. Traci L Broidrick allows following entities to bill medicare on her behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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. Traci L Broidrick 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
Traci L Broidrick, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: () -	Traci L Broidrick, CRNP 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8111

Reviews and Comments

Nurse Practitioner Nurses in Allentown, PA

Mrs. Lou-ann Marie Snyder, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 N 4th St, Allentown, PA 18102 Phone: 610-663-3463 Fax: 610-606-4448
Paige E Horner, CRNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 Buckingham Dr, Allentown, PA 18103 Phone: 484-264-7624
Andrew Berner, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-2273
Kathleen Strzepek, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 Pond Rd, Suite 401, Allentown, PA 18104 Phone: 610-398-7700 Fax: 610-398-6913
Donna Kuhn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 403, Allentown, PA 18103 Phone: 610-402-3650 Fax: 610-402-3673
Ms. Catherine D Stein, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 Marcon Blvd Ste 3, Allentown, PA 18109 Phone: 610-266-0134
Dr. Camille A O Hamilton, PHD MPH AGPCNP-BC RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N 17th St Ste 300, Allentown, PA 18104 Phone: 610-969-3500

Traci L Broidrick, CRNP - Medicare Nurse Practitioner in Allentown, PA