Robert Joseph Breckenridge, DO is a medicare enrolled "Internal Medicine" provider in Enid, Oklahoma. His current practice location is
401 E Oklahoma Ave, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 233-4300.
Robert Joseph Breckenridge is licensed to practice in Oklahoma (license number 1794) 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 1790747350.
Healthcare Provider's Profile
| Full Name | Robert Joseph Breckenridge |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 401 E Oklahoma Ave, Enid, Oklahoma |
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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: 1790747350
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254479991
- Enrollment ID: I20091117000471
Medical Identifiers
Medical identifiers for Robert Joseph Breckenridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790747350 | NPI | - | NPPES |
| 110230825 | Other | | RR MEDICARE |
| 100257360D | Medicaid | OK | |
| 37D2190466 | Other | OK | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 1794 (Oklahoma) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 1794 (Oklahoma) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1794 (Oklahoma) | Secondary |
| 207RI0001X | Internal Medicine - Clinical & Laboratory Immunology | 1794 (Oklahoma) | Secondary |
| 207RI0001X | Internal Medicine - Clinical & Laboratory Immunology | 37D2190466 (Oklahoma) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 37D2190466 (Oklahoma) | Secondary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | 1794 (Oklahoma) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 1794 (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | 1794 (Oklahoma) | 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. Robert Joseph Breckenridge 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 |
|---|
Robert Joseph Breckenridge, DO
401 E Oklahoma Ave,
Enid, OK 73701-5800
Ph: (580) 233-4300 | Robert Joseph Breckenridge, DO
401 E Oklahoma Ave,
Enid, OK 73701-5800
Ph: (580) 233-4300 |
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