Jamielou Custodio Breckenridge, MD in Fort Belvoir, VA

Jamielou Custodio Breckenridge, MD is a medicare enrolled "Surgery" physician in Fort Belvoir, Virginia. Her current practice location is 9300 Dewitt Loop, Fort Belvoir, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 231-3224.

Jamielou Custodio Breckenridge is licensed to practice in Virginia (license number 0101276676) 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 1679010896.

Contact Information

	Jamielou Custodio Breckenridge, MD
	9300 Dewitt Loop, Fort Belvoir, VA 22060-5285
	(571) 231-3224
	Not Available

Map and Direction

Physician's Profile

Full Name	Jamielou Custodio Breckenridge
Gender	Female
Speciality	Surgery
Location	9300 Dewitt Loop, Fort Belvoir, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679010896
Provider Enumeration Date: 01/25/2017
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1254699440
Enrollment ID: I20240424000034

Medical Identifiers

Medical identifiers for Jamielou Custodio Breckenridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679010896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0101276676 (Virginia)	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. Jamielou Custodio Breckenridge allows following entities to bill medicare on her behalf.

Entity Name	Winchester Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

Entity Name	Valley Physician Enterprise Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278

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. Jamielou Custodio Breckenridge 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
Jamielou Custodio Breckenridge, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224	Jamielou Custodio Breckenridge, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224

Reviews and Comments

Surgery Doctors in Fort Belvoir, VA

Dr. Candace Ward, MD, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 855-227-6331
Dr. Earl Hahn Lee, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewitt Loop, Fbch, Department Of General Surgery, Fort Belvoir, VA 22060 Phone: 571-231-2556
Dr. Michael Rennel Dunham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0599
Dr. Jennifer L Viera, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2556
Dr. Maridelle Millendez Charit, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2556
Dr. Joseph Stuart Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 818-415-5468
Dr. Michael Laurence Horsey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2556

Jamielou Custodio Breckenridge, MD - Medicare Surgery in Fort Belvoir, VA