Dr Thomas Arthur Breitenbucher, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Brooklyn Center, Minnesota. He graduated from healthcare school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice North Psychology Clinic Pa and his current practice location is
6120 Earle Brown Dr, Suite 520, Brooklyn Center, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 531-0566.
Dr Thomas Arthur Breitenbucher is licensed to practice in Minnesota (license number LP2794) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1699846154.
Healthcare Provider's Profile
| Full Name | Dr Thomas Arthur Breitenbucher |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 6120 Earle Brown Dr, Brooklyn Center, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas Arthur Breitenbucher graduated from medical school in 1994
NPI Data:
- NPI Number: 1699846154
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 11/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 9638350465
- Enrollment ID: I20110225000638
Medical Identifiers
Medical identifiers for Dr Thomas Arthur Breitenbucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699846154 | NPI | - | NPPES |
| 104654 | Other | MN | UCARE |
| 54R37BR | Other | MN | BLUECROSSBLUESHIELD |
| 433853700 | Medicaid | MN | |
| 61-16175 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LP2794 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP2794 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Psychology Clinic Pa | 3870545668 | 3 |
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. Dr Thomas Arthur Breitenbucher allows following entities to bill medicare on his behalf.
| Entity Name | North Psychology Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265462212
PECOS PAC ID: 3870545668
Enrollment ID: O20050221000501 |
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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. Dr Thomas Arthur Breitenbucher 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 |
|---|
Dr Thomas Arthur Breitenbucher, PHD, LP
6120 Earle Brown Dr, Suite 520,
Brooklyn Center, MN 55430-2123
Ph: (763) 531-0566 | Dr Thomas Arthur Breitenbucher, PHD, LP
6120 Earle Brown Dr, Suite 520,
Brooklyn Center, MN 55430-2123
Ph: (763) 531-0566 |
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