| Dr Nathan Breazeale, MD | |
|
900 W 38th St, Suite 300, Austin, TX 78705-1130 | |
| (512) 450-1300 | |
| (512) 450-1339 |
| Full Name | Dr Nathan Breazeale |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 900 W 38th St, Austin, Texas |
| 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 |
|---|---|---|---|
| 1194795062 | NPI | - | NPPES |
| 102491102 | Medicaid | TX | |
| 1278600001 | Other | TX | MEDICARE SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | J1500 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Sports Medicine Llp | 3779596986 | 14 |
| Entity Name | Austin Sports Medicine Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770553653 PECOS PAC ID: 3779596986 Enrollment ID: O20060710000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Breazeale, MD 900 W 38th St, Suite 300, Austin, TX 78705-1130 Ph: (512) 450-1300 | Dr Nathan Breazeale, MD 900 W 38th St, Suite 300, Austin, TX 78705-1130 Ph: (512) 450-1300 |
Michael W Burris, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way, Suite 370, Austin, TX 78758 Phone: 512-617-1989 Fax: 512-617-2065 | |
Dr. William Parker Abblitt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Seton Center Pkwy Ste 200, Austin, TX 78759 Phone: 512-439-1000 | |
Matthew David Ellington, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1301 Barbara Jordan Blvd, Suite 300, Austin, TX 78723 Phone: 512-478-8116 Fax: 512-478-9368 | |
Ryan Michael Tibbetts, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Seton Center Pkwy, Ste 200, Austin, TX 78759 Phone: 512-439-1000 Fax: 512-439-1081 | |
Dr. Kevin J. Bozic, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 W 38th St, Ste 102, Austin, TX 78705 Phone: 512-454-4561 Fax: 512-406-7330 | |
Dr. Eugene P Schoch Iii, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1015 East 32nd St, Suite 101, Austin, TX 78705 Phone: 512-477-6341 Fax: 512-477-1148 | |
Dr. Kathleen Dolores Rickert-madden, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723 Phone: 512-478-8116 Fax: 512-478-9368 |