<unavail> in Broussard, LA - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in Broussard, Louisiana. Their current practice location is 172 Heritage Ste K, Broussard, Louisiana. You can reach out to their office (for appointments etc.) via phone at (337) 214-1244.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114790177.

Contact Information


	172 Heritage Ste K, Broussard, LA 70518-8046
	(337) 214-1244
	(866) 825-4104

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	172 Heritage Ste K, Broussard, Louisiana
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114790177
Provider Enumeration Date: 11/01/2023
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7315489960
Enrollment ID: O20240611001111

Medical Identifiers

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

Identifier	Type	State	Issuer
1114790177	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. acts as a billing entity for following providers:

Provider Name	Nicholas Fulco
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1760006803 PECOS PAC ID: 4688096977 Enrollment ID: I20200615000875

Provider Name	David A Hall
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1497170419 PECOS PAC ID: 6204251929 Enrollment ID: I20200729000316

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. 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
6123 Kateland Cir, Bossier City, LA 71111-6988 Ph: (318) 754-7367	172 Heritage Ste K, Broussard, LA 70518-8046 Ph: (337) 214-1244

Reviews and Comments

Physical Therapist in Broussard, LA

Inzerella Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 South Morgan Ave, Broussard, LA 70518 Phone: 337-830-4134 Fax: 337-837-4136
John Austin Berry, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939
Dynamic Flow Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1431 Old Spanish Trail Hwy Lot 4, Broussard, LA 70518 Phone: 337-321-0010
Jada Lynn Poche, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939
Karen Ann Bienvenu, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939
Prof. Beneth Marie Frame, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 484 Albertson Pkwy Ste A, Broussard, LA 70518 Phone: 337-839-8883 Fax: 337-839-8939

- Medicare Physical Therapist in Broussard, LA