| Charles J Breen, MD | |
|
315 E Caldonia Ave, Hillsboro, ND 58045 | |
| (701) 436-5311 | |
| (701) 436-4514 |
| Full Name | Charles J Breen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 315 E Caldonia Ave, Hillsboro, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114944113 | NPI | - | NPPES |
| 17292 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6161 (North Dakota) | Primary |
| 207Q00000X | Family Medicine | 36008 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Home Care Fargo | Fargo, ND | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Sanford Hillsboro | Hillsboro, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Sanford Mayville | Mayville, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network North | 8022206663 | 93 |
| Sanford Health Network North | 8022206663 | 93 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Breen, MD 315 E Caldonia Ave, Po Box 639, Hillsboro, ND 58045 Ph: (701) 436-5311 | Charles J Breen, MD 315 E Caldonia Ave, Hillsboro, ND 58045 Ph: (701) 436-5311 |
Timothy J Luithle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Caledonia Ave, Hillsboro, ND 58045 Phone: 701-436-5311 Fax: 701-436-4514 |