Dr Charles W Breaux Jr, MD - Medicare Surgery in Grand Junction, CO

Dr Charles W Breaux Jr, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Grand Junction, Colorado. His current practice location is 2643 Patterson Rd, Suite 603, Grand Junction, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 298-7440.

Dr Charles W Breaux Jr is licensed to practice in Colorado (license number 35211) 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 1407844301.

Contact Information

Dr Charles W Breaux Jr, MD
2643 Patterson Rd, Suite 603,
Grand Junction, CO 81506-1936
(970) 298-7440
(970) 298-7459

Map and Direction




Physician's Profile

Full NameDr Charles W Breaux Jr
GenderMale
SpecialitySurgery - Pediatric Surgery
Location2643 Patterson Rd, Grand Junction, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407844301
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 07/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1759436553
  • Enrollment ID: I20090831000403

Medical Identifiers

Medical identifiers for Dr Charles W Breaux Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407844301NPI-NPPES
01352111MedicaidCO
10025031MedicaidNM
100504625MedicaidNV
BRB1426OtherCOBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35211 (Colorado)Secondary
208600000XSurgery 11154 (Alabama)Secondary
2086S0102XSurgery - Surgical Critical Care 35211 (Colorado)Secondary
2086S0102XSurgery - Surgical Critical Care 11154 (Alabama)Secondary
2086S0120XSurgery - Pediatric Surgery 35211 (Colorado)Primary
2086S0120XSurgery - Pediatric Surgery 11154 (Alabama)Secondary

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 Charles W Breaux Jr allows following entities to bill medicare on his behalf.
Entity NameSt Marys Hospital And Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275714081
PECOS PAC ID: 1557267069
Enrollment ID: O20031218000149
Entity NameScl Health Medical Group - Grand Junction Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356765556
PECOS PAC ID: 3779707856
Enrollment ID: O20140611000363

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 Charles W Breaux Jr 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 AddressPractice Location Address
Dr Charles W Breaux Jr, MD
2643 Patterson Rd, Suite 603,
Grand Junction, CO 81506-1936

Ph: (970) 298-7440
Dr Charles W Breaux Jr, MD
2643 Patterson Rd, Suite 603,
Grand Junction, CO 81506-1936

Ph: (970) 298-7440

Reviews and Comments


Surgery Doctors in Grand Junction, CO

Justin Walpole, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2643 Patterson Rd Ste 401, Grand Junction, CO 81506
Phone: 970-298-3884    Fax: 370-372-0995
Dr. Steven F Odell, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1060 Orchard Ave, Suite I, Grand Junction, CO 81501
Phone: 970-243-9340    Fax: 970-241-6894
Dr. Bradley Alan Baldwin, DO
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2373 G Rd Ste 280, Surgical Associates, Grand Junction, CO 81505
Phone: 970-243-9340    Fax: 970-241-6894
Craig Holger Andersen, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2440 N 11th St, Grand Junction, CO 81501
Phone: 970-243-0900    
Douglas August Hirth, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2440 N 11th St, Grand Junction, CO 81501
Phone: 970-243-0900    
Dr. Daniela Schupp, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 North Ave, Grand Junction, CO 81501
Phone: 970-986-4418    Fax: 833-382-1178
Matthew R Swelstad, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2515 Foresight Cir, Suite 200, Grand Junction, CO 81505
Phone: 970-242-8177    Fax: 970-255-3558

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.