Dr Ethan Jeremy Breen, DO - Family Medicine in Pismo Beach, CA

Dr Ethan Jeremy Breen, DO is a Family Medicine physician based in Pismo Beach, California. Dr Ethan Jeremy Breen is licensed to practice in California (license number 20A13057) and his current practice location is 901 Oak Park Blvd, Pismo Beach, California. He can be reached at his office (for appointments etc.) via phone at (805) 489-2205.

NPI number for Dr Ethan Jeremy Breen is 1922357003 and his current mailing address is 901 Oak Park Blvd, Pismo Beach, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922357003.

Contact Information

Dr Ethan Jeremy Breen, DO
901 Oak Park Blvd,
Pismo Beach, CA 93449-3408
(805) 489-2205
Not Available

Map and Direction




Physician's Profile

Full NameDr Ethan Jeremy Breen
GenderMale
SpecialityFamily Medicine
Location901 Oak Park Blvd, Pismo Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922357003
  • Provider Enumeration Date: 09/05/2012
  • Last Update Date: 02/03/2014

Medical Identifiers

Medical identifiers for Dr Ethan Jeremy Breen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922357003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A13057 (California)Primary
207Q00000XFamily Medicine 266939 (New York)Secondary

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 Ethan Jeremy Breen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ethan Jeremy Breen, DO
901 Oak Park Blvd,
Pismo Beach, CA 93449-3408

Ph: (805) 489-2205
Dr Ethan Jeremy Breen, DO
901 Oak Park Blvd,
Pismo Beach, CA 93449-3408

Ph: (805) 489-2205

Reviews and Comments


Family Medicine Doctors in Pismo Beach, CA

David Ruiz, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 931 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-2600    Fax: 805-474-2607
Shauna Lynch,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    
Dr. Frederick W. Thom, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 877 Oak Park Blvd., Med Plus Medical Center, Pismo Beach, CA 93449
Phone: 805-474-8450    Fax: 805-474-8454
Dr. Johannes A. Haar, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    Fax: 805-474-8454
Dr. Dewey Sandberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449
Phone: 805-474-2600    Fax: 805-474-2607
Dr. Karen Myrl Ramos Goodman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    Fax: 805-474-8454
Dr. Michael R. Velarde, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449
Phone: 805-474-8450    Fax: 805-474-8454

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.