Ms Monta Annette Breeden, LCSW is a medicare enrolled "Social Worker" provider in Fort Campbell, Kentucky. Her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 798-8400.
Ms Monta Annette Breeden is licensed to practice in Missouri (license number 005085) 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 1508192287.
Healthcare Provider's Profile
| Full Name | Ms Monta Annette Breeden |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 650 Joel Dr, Fort Campbell, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508192287
- Provider Enumeration Date: 10/30/2009
- Last Update Date: 11/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274576806
- Enrollment ID: I20150505001392
Medical Identifiers
Medical identifiers for Ms Monta Annette Breeden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508192287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | KY-3190 (Kentucky) | Secondary |
| 104100000X | Social Worker | KY-3190 (Kentucky) | Secondary |
| 104100000X | Social Worker | 005085 (Missouri) | Primary |
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. Ms Monta Annette Breeden 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 |
|---|
Ms Monta Annette Breeden, LCSW
650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 798-8400 | Ms Monta Annette Breeden, LCSW
650 Joel Dr,
Fort Campbell, KY 42223-5318
Ph: (270) 798-8400 |
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