| Dr Richard Lee Breeden, MD | |
|
2300 E 30th St, Ste B-102, Farmington, NM 87401-8990 | |
| (505) 609-6790 | |
| (505) 599-4640 |
| Full Name | Dr Richard Lee Breeden |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 2300 E 30th St, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598785826 | NPI | - | NPPES |
| 00069631 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2000-14 (New Mexico) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2000-14 (New Mexico) | Primary |
| Entity Name | San Juan Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Lee Breeden, MD 3401 N Butler Ave Ste 105, Farmington, NM 87401-6867 Ph: (505) 716-4180 | Dr Richard Lee Breeden, MD 2300 E 30th St, Ste B-102, Farmington, NM 87401-8990 Ph: (505) 609-6790 |
Laura Waymire, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th St Ste B-102, Farmington, NM 87401 Phone: 505-609-6790 Fax: 505-599-4640 | |
Ariadna Sadziene-bessinger, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 S Schwartz Ave, Farmington, NM 87401 Phone: 505-609-6680 Fax: 505-609-2259 | |
Dr. Sara L Montgomery, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 108 N Behrend Ave Ste A, Farmington, NM 87401 Phone: 505-716-2842 |