Jeffrey R Breneisen, MD - Medicare Cardiovascular Disease (cardiology) in Fairfield, CA

Jeffrey R Breneisen, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fairfield, California. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1993 and has 31 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Northbay Healthcare Group and his current practice location is 1860 Pennsylvania Ave, Suite 120, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 646-4400.

Jeffrey R Breneisen is licensed to practice in California (license number G86677) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629058615.

Contact Information

Jeffrey R Breneisen, MD
1860 Pennsylvania Ave, Suite 120,
Fairfield, CA 94533-3590
(707) 646-4400
(707) 646-4401

Map and Direction




Physician's Profile

Full NameJeffrey R Breneisen
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience31 Years
Location1860 Pennsylvania Ave, Fairfield, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey R Breneisen attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1993
  NPI Data:
  • NPI Number: 1629058615
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 07/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9436110293
  • Enrollment ID: I20041025000637

Medical Identifiers

Medical identifiers for Jeffrey R Breneisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629058615NPI-NPPES
00G866770MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease G86677 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northbay Medical CenterFairfield, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northbay Healthcare Group0042122244238

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. Jeffrey R Breneisen allows following entities to bill medicare on his behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameJeffrey Breneisen Md Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851626394
PECOS PAC ID: 8628111549
Enrollment ID: O20100201000426

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. Jeffrey R Breneisen 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 AddressPractice Location Address
Jeffrey R Breneisen, MD
1860 Pennsylvania Ave, Suite 120,
Fairfield, CA 94533-3590

Ph: (707) 646-4400
Jeffrey R Breneisen, MD
1860 Pennsylvania Ave, Suite 120,
Fairfield, CA 94533-3590

Ph: (707) 646-4400

Reviews and Comments


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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.

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