Trent Michael Broadus, ARNP in Palm Springs, CA

Trent Michael Broadus, ARNP is a medicare enrolled "Nurse Practitioner" in Palm Springs, California. His current practice location is 1695 N Sunrise Way, Palm Springs, California. You can reach out to his office (for appointments etc.) via phone at (760) 323-2118.

Trent Michael Broadus is licensed to practice in California (license number 95006008) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780967364.

Contact Information

	Trent Michael Broadus, ARNP
	1695 N Sunrise Way, Palm Springs, CA 92262-3701
	(760) 323-2118
	(760) 416-1651

Map and Direction

Provider's Profile

Full Name	Trent Michael Broadus
Gender	Male
Speciality	Nurse Practitioner
Location	1695 N Sunrise Way, Palm Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780967364
Provider Enumeration Date: 09/21/2011
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8527218528
Enrollment ID: I20170922001178

Medical Identifiers

Medical identifiers for Trent Michael Broadus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780967364	NPI	-	NPPES
95006008	Other	CA	CA NP LICENSE
ARNP9353539	Other	FL	FLA MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9353539 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	570228 (Texas)	Secondary
363L00000X	Nurse Practitioner	95006008 (California)	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. Trent Michael Broadus allows following entities to bill medicare on his behalf.

Entity Name	Dap Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193

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. Trent Michael Broadus 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
Trent Michael Broadus, ARNP 1695 North Sunrise Way, Palm Springs, CA 92262-3701 Ph: (760) 323-2118	Trent Michael Broadus, ARNP 1695 N Sunrise Way, Palm Springs, CA 92262-3701 Ph: (760) 323-2118

Reviews and Comments

Nurse Practitioner Nurses in Palm Springs, CA

Lynn Rochele Lopez Santos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Indian Canyon Dr Ste W304, Palm Springs, CA 92262 Phone: 760-322-9562
Alicia Berenice Rios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E420, Palm Springs, CA 92262 Phone: 760-778-7147
Mr. Matthew Gabriel Moran, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262 Phone: 760-299-6487
Madeline Elizabeth Ramirez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 S Palm Canyon Dr, Palm Springs, CA 92264 Phone: 760-969-7770 Fax: 760-969-7771
Tina Michelle Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 N El Cielo Rd Ste D-402, Palm Springs, CA 92262 Phone: 760-320-8814
Ms. Beverly A Kram, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 S Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-568-2684 Fax: 760-341-5832
Ms. Ann Marie Ala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262 Phone: 760-327-1188 Fax: 760-322-2886

Trent Michael Broadus, ARNP - Medicare Nurse Practitioner in Palm Springs, CA