Dr Shelly A Breyen, MD in Cloquet, MN - Medicare Family Medicine

Dr Shelly A Breyen, MD is a medicare enrolled "Family Medicine" physician in Cloquet, Minnesota. Her current practice location is 417 Skyline Blvd, Cloquet, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 879-1271.

Dr Shelly A Breyen is licensed to practice in Minnesota (license number 37600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275615593.

Contact Information

	Dr Shelly A Breyen, MD
	417 Skyline Blvd, Cloquet, MN 55720-1164
	(218) 879-1271
	(218) 879-8904

Map and Direction

Physician's Profile

Full Name	Dr Shelly A Breyen
Gender	Female
Speciality	Family Medicine
Location	417 Skyline Blvd, Cloquet, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275615593
Provider Enumeration Date: 10/19/2006
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1355484502
Enrollment ID: I20100210000279

Medical Identifiers

Medical identifiers for Dr Shelly A Breyen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275615593	NPI	-	NPPES
073027100	Medicaid	MN
6D235BR	Other	MN	BLUES & FIRST PLAN
0102361	Other	MN	MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	37600 (Minnesota)	Primary

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 Shelly A Breyen allows following entities to bill medicare on her behalf.

Entity Name	Community Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203

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 Shelly A Breyen 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 Address	Practice Location Address
Dr Shelly A Breyen, MD 417 Skyline Blvd, Cloquet, MN 55720-1164 Ph: (218) 879-1271	Dr Shelly A Breyen, MD 417 Skyline Blvd, Cloquet, MN 55720-1164 Ph: (218) 879-1271

Reviews and Comments

Family Medicine Doctors in Cloquet, MN

Ali Reza Arbabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641
Mr. Arne Vainio, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136
Dr. Darla J Vanheerde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-9617
Stephen M Bockhold, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641
Kenneth M Ripp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904
Shannon Jean Wesley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720 Phone: 218-879-4641

Dr Shelly A Breyen, MD - Medicare Family Medicine in Cloquet, MN