Mrs Makenzie Julia Breitbach, FNP in Jamestown, ND

Mrs Makenzie Julia Breitbach, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jamestown, North Dakota. Her current practice location is 2422 20th St Sw, Jamestown, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 953-1050.

Mrs Makenzie Julia Breitbach is licensed to practice in North Dakota (license number R41764) 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 1164196473.

Contact Information

	Mrs Makenzie Julia Breitbach, FNP
	2422 20th St Sw, Jamestown, ND 58401-6201
	(701) 953-1050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Makenzie Julia Breitbach
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2422 20th St Sw, Jamestown, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164196473
Provider Enumeration Date: 08/02/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0345639498
Enrollment ID: I20211111001933

Medical Identifiers

Medical identifiers for Mrs Makenzie Julia Breitbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164196473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R41764 (North Dakota)	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. Mrs Makenzie Julia Breitbach allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Charity Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565

Entity Name	Lutheran Charity Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530

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. Mrs Makenzie Julia Breitbach 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
Mrs Makenzie Julia Breitbach, FNP 1100 2nd Ave Sw, Rugby, ND 58368-2402 Ph: (701) 710-1429	Mrs Makenzie Julia Breitbach, FNP 2422 20th St Sw, Jamestown, ND 58401-6201 Ph: (701) 953-1050

Reviews and Comments

Nurse Practitioner Nurses in Jamestown, ND

Mrs. Jessica Rae Gardner, N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 920 10th St Se, Jamestown, ND 58401 Phone: 701-365-8700 Fax: 701-365-8701
Patricia Richter, FNP, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2430 20th Swst 8, Jamestown, ND 58401 Phone: 701-952-4787 Fax: 701-952-4786
Todd J. Mcdowell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3282 Fax: 701-253-3999
Mrs. Anne Marie Manyango, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2521 Circle Dr, Jamestown, ND 58401 Phone: 701-253-3712 Fax: 701-253-3667
Candida D Hoggarth-baldwin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Circle Dr, North Dakota State Hospital, Jamestown, ND 58401 Phone: 701-253-3650 Fax: 701-253-3999
Rebecca Lafavor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 1st Ave S Ste A, Jamestown, ND 58401 Phone: 701-368-4380 Fax: 701-540-6818
Amanda S Wiles, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000

Mrs Makenzie Julia Breitbach, FNP - Medicare Nurse Practitioner in Jamestown, ND