| Mr Cecil Brian Breetzke, MD | |
|
1060 Peerless Xing Nw, Suite 200, Cleveland, TN 37312-3784 | |
| (423) 479-4165 | |
| (423) 478-1884 |
| Full Name | Mr Cecil Brian Breetzke |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 1060 Peerless Xing Nw, Cleveland, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629142955 | NPI | - | NPPES |
| 3895054 | Medicaid | TN | |
| 4075200 | Other | TN | BLUE CARE |
| TN0139 | Other | TN | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37479 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Tennova Home Health - Cleveland | Cleveland, TN | Home health agency |
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley Physician Services, Llc | 8123563392 | 38 |
| Entity Name | Bradley Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710727540 PECOS PAC ID: 8123563392 Enrollment ID: O20240711003004 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cecil Brian Breetzke, MD 1060 Peerless Xing Nw, Suite 200, Cleveland, TN 37312-3784 Ph: (423) 479-4165 | Mr Cecil Brian Breetzke, MD 1060 Peerless Xing Nw, Suite 200, Cleveland, TN 37312-3784 Ph: (423) 479-4165 |
Dr. William Augustus Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312 Phone: 423-472-1511 Fax: 423-479-9202 | |
James R Bryan, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4625 N Lee Hwy, Cleveland, TN 37312 Phone: 423-624-2696 Fax: 423-697-2059 | |
Dr. Aaron Doss Samuel, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3178 Chestnut Cir Nw, Cleveland, TN 37312 Phone: 423-339-3524 | |
Michael L Noble, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 700 Paul Huff Pkwy Nw, Cleveland, TN 37312 Phone: 423-380-6400 | |
Dr. Paul Grayson Smith Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2121 N Ocoee St, Suite 101, Cleveland, TN 37311 Phone: 423-472-6548 Fax: 423-472-8318 | |
Dr. Dennis A. Thompson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312 Phone: 423-472-1511 Fax: 423-479-9202 | |
Elizabeth Daubner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Dooley St Se, Cleveland, TN 37311 Phone: 423-728-7020 |