Victoria Broadhurst, in Valley, AL - Medicare Nurse Practitioner

Victoria Broadhurst, is a medicare enrolled "Nurse Practitioner - Family" in Valley, Alabama. Her current practice location is 3306 20th Ave, Valley, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 756-0305.

Victoria Broadhurst is licensed to practice in Alabama (license number 1-107618) 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 1942973144.

Contact Information

	Victoria Broadhurst,
	3306 20th Ave, Valley, AL 36854-3201
	(334) 756-0305
	Not Available

Map and Direction

Provider's Profile

Full Name	Victoria Broadhurst
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3306 20th Ave, Valley, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942973144
Provider Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8224407499
Enrollment ID: I20231004000836

Medical Identifiers

Medical identifiers for Victoria Broadhurst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942973144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN177627 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	1-107618 (Alabama)	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. Victoria Broadhurst allows following entities to bill medicare on her behalf.

Entity Name	American Family Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157

Entity Name	Stopwatch Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664

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. Victoria Broadhurst 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
Victoria Broadhurst, 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: (205) 545-5088	Victoria Broadhurst, 3306 20th Ave, Valley, AL 36854-3201 Ph: (334) 756-0305

Reviews and Comments

Nurse Practitioner Nurses in Valley, AL

Mrs. Carla A Etherton-moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Medical Park, Valley, AL 36854 Phone: 334-756-4860 Fax: 334-756-4866
Leah Knight, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Greta Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Deanna Nachelle Fletcher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3306 20th Ave, Valley, AL 36854 Phone: 334-756-0305
Miracle Lovelace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Park N, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059
Mrs. Leanne Knowles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Valley, AL 36854 Phone: 334-756-5150
Valalena L Maddox, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Park, Valley, AL 36854 Phone: 334-756-8043 Fax: 334-756-8059

Victoria Broadhurst, - Medicare Nurse Practitioner in Valley, AL