Karl Breitenbach, MD - Medicare Family Practice in Vernal, UT

Karl Breitenbach, MD is a medicare enrolled "Family Medicine" physician in Vernal, Utah. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeastern Utah Medical Group and his current practice location is 379 North 500 West, Suite 1a, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 789-1165.

Karl Breitenbach is licensed to practice in Utah (license number 85-173193-1205) 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 1457447906.

Contact Information

Karl Breitenbach, MD
379 North 500 West, Suite 1a,
Vernal, UT 84078
(435) 789-1165
(435) 789-1169

Map and Direction




Physician's Profile

Full NameKarl Breitenbach
GenderMale
SpecialityFamily Practice
Experience40 Years
Location379 North 500 West, Vernal, Utah
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:
  • Karl Breitenbach attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1457447906
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 04/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8224168224
  • Enrollment ID: I20100618000261

Medical Identifiers

Medical identifiers for Karl Breitenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457447906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 85-173193-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uintah Basin Medical CenterRoosevelt, UTHospital
Ashley Regional Medical CenterVernal, UTHospital

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. Karl Breitenbach allows following entities to bill medicare on his behalf.
Entity NameNortheastern Utah Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471
Entity NameTricounty Health Department
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093482770
PECOS PAC ID: 9537575311
Enrollment ID: O20210302001264

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. Karl Breitenbach 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
Karl Breitenbach, MD
379 North 500 West, Suite 1a,
Vernal, UT 84078

Ph: (435) 789-1165
Karl Breitenbach, MD
379 North 500 West, Suite 1a,
Vernal, UT 84078

Ph: (435) 789-1165

Reviews and Comments


Family Medicine Doctors in Vernal, UT

Dr. Alma L Parker Ii, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 175 N 100 W, Suite 205, Vernal, UT 84078
Phone: 435-781-6300    Fax: 435-781-6301
Hilary J. Sarhatt, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 151 W 200 N, Vernal, UT 84078
Phone: 435-789-3342    
Shaun C Shurtliff, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 872 W Highway 40, Vernal, UT 84078
Phone: 435-781-8899    Fax: 435-781-8898
Michael Olsen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 379 North 500 West, Suite 1a, Vernal, UT 84078
Phone: 435-789-1165    Fax: 435-789-1169
Dr. Matthew C Bowen, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 175 N 100 W, Suite 205a, Vernal, UT 84078
Phone: 435-781-1200    Fax: 435-781-1230
Bruce A Daniel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 151 W 200 N, Vernal, UT 84078
Phone: 435-789-3342    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.