Dr Blaise F Broussard, PT, DPT is a medicare enrolled "Physical Therapist" provider in Washington, Louisiana. His current practice location is
1085 Landreneau St, Washington, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 348-9950.
Dr Blaise F Broussard is licensed to practice in * (Not Available) (license number ) 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 1578690913.
Healthcare Provider's Profile
Full Name | Dr Blaise F Broussard |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1085 Landreneau St, Washington, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578690913
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 10/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 2567513146
- Enrollment ID: I20090622000151
Medical Identifiers
Medical identifiers for Dr Blaise F Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578690913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | 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. Dr Blaise F Broussard allows following entities to bill medicare on his behalf.
Provider Name | Acadian Physical Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1043676554 PECOS PAC ID: 8123311875 Enrollment ID: O20160719000645 |
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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. Dr Blaise F 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 |
Dr Blaise F Broussard, PT, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 | Dr Blaise F Broussard, PT, DPT 1085 Landreneau St, Washington, LA 70589-9102 Ph: (337) 348-9950 |
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