Jonelle S Broaddus, DPT in Windsor, CA - Medicare Physical Therapist Provider

Jonelle S Broaddus, DPT is a medicare enrolled "Physical Therapist" provider in Windsor, California. Her current practice location is 8466 Trione Cir, Windsor, California. You can reach out to her office (for appointments etc.) via phone at (808) 256-9522.

Jonelle S Broaddus is licensed to practice in California (license number 33360) 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 1366508046.

Contact Information

	Jonelle S Broaddus, DPT
	8466 Trione Cir, Windsor, CA 95492-7704
	(808) 256-9522
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonelle S Broaddus
Gender	Female
Speciality	Physical Therapist
Location	8466 Trione Cir, Windsor, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366508046
Provider Enumeration Date: 12/28/2006
Last Update Date: 09/02/2024

Medicare PECOS Information:

PECOS PAC ID: 8426358631
Enrollment ID: I20151119001620

Medical Identifiers

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

Identifier	Type	State	Issuer
1366508046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	33360 (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. Jonelle S Broaddus allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jonelle S Broaddus 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
Jonelle S Broaddus, DPT 8466 Trione Cir, Windsor, CA 95492-7704 Ph: (808) 256-9522	Jonelle S Broaddus, DPT 8466 Trione Cir, Windsor, CA 95492-7704 Ph: (808) 256-9522

Reviews and Comments

Physical Therapist in Windsor, CA

Linda Karen Marshall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 767 Joni Ct, Windsor, CA 95492 Phone: 707-837-1982
Sally Pooler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Johnson St, Windsor, CA 95492 Phone: 707-620-0688
Mr. Irwin Scott Thompson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8499 Old Redwood Hwy, Ste. 110, Windsor, CA 95492 Phone: 707-838-2399 Fax: 707-838-2385
Mrs. Lori Barekman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5803 Skylane Blvd, Suite B, Windsor, CA 95492 Phone: 707-837-7980 Fax: 707-837-7983
Dr. Rachelle Renee Moberg, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 218 Chris St, Windsor, CA 95492 Phone: 707-758-5383

Jonelle S Broaddus, DPT - Medicare Physical Therapist in Windsor, CA