Elliot Duane Broadhead, DPT in Sheppard Afb, TX - Medicare Physical Therapist Provider

Elliot Duane Broadhead, DPT is a medicare enrolled "Physical Therapist" provider in Sheppard Afb, Texas. His current practice location is 527 5th Ave #500, Sheppard Afb, Texas. You can reach out to his office (for appointments etc.) via phone at (208) 828-4626.

Elliot Duane Broadhead is licensed to practice in Idaho (license number 5817) 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 1255996468.

Contact Information

	Elliot Duane Broadhead, DPT
	527 5th Ave #500, Sheppard Afb, TX 76311
	(208) 828-4626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elliot Duane Broadhead
Gender	Male
Speciality	Physical Therapist
Location	527 5th Ave #500, Sheppard Afb, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255996468
Provider Enumeration Date: 05/02/2019
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3870828098
Enrollment ID: I20190710003238

Medical Identifiers

Medical identifiers for Elliot Duane Broadhead such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255996468	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5817 (Idaho)	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. Elliot Duane Broadhead allows following entities to bill medicare on his behalf.

Provider Name	Wright Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922279785 PECOS PAC ID: 0840367561 Enrollment ID: O20080923000205

Provider Name	Wright Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730732025 PECOS PAC ID: 1759612641 Enrollment ID: O20191007003583

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. Elliot Duane Broadhead 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
Elliot Duane Broadhead, DPT 1410 W Airbase Rd Apt 2, Mountain Home, ID 83647-3344 Ph: (208) 730-7467	Elliot Duane Broadhead, DPT 527 5th Ave #500, Sheppard Afb, TX 76311 Ph: (208) 828-4626

Reviews and Comments

Physical Therapist in Sheppard Afb, TX

Michelle Rae Kastler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Hart St, 82 Medical Group, Sheppard Afb, TX 76311 Phone: 940-676-3873 Fax: 940-676-3335
Matthew Joseph Mazick, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 527 Tuskegee Airman Ave, Building 500, Sheppard Afb, TX 76311 Phone: 940-676-1092
Matthew Robertson, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Hart St, Sheppard Afb, TX 76311 Phone: 940-676-6504 Fax: 940-676-3017
Mr. William Joseph Mcallister, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 527 5th Ave #500, Sheppard Afb, TX 76311 Phone: 940-676-1454 Fax: 940-676-3017
Katherine Sloop Roberts, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 Hart St, 82 Mdos/sgomy, Sheppard Afb, TX 76311 Phone: 940-676-4274
Nathan Paul Shepard, M.S.P.T., DSCPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 527 Tuskegee Airmen Ave, Sheppard Afb, TX 76311 Phone: 940-676-0160

Elliot Duane Broadhead, DPT - Medicare Physical Therapist in Sheppard Afb, TX