Roy Eugene Breen, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Portland, Oregon. His current practice location is
4805 Ne Glisan St, Suite 6n60, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 281-0561.
Roy Eugene Breen is licensed to practice in Oregon (license number 12258) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164594248.
Physician's Profile
| Full Name | Roy Eugene Breen |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 4805 Ne Glisan St, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164594248
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123114105
- Enrollment ID: I20080229000321
Medical Identifiers
Medical identifiers for Roy Eugene Breen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164594248 | NPI | - | NPPES |
| 136531 | Medicaid | OR | |
| 8104184 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MD12258 (Oregon) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 12258 (Oregon) | 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. Roy Eugene Breen allows following entities to bill medicare on his behalf.
| Entity Name | The Oregon Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
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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. Roy Eugene Breen 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 |
Roy Eugene Breen, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801 | Roy Eugene Breen, MD 4805 Ne Glisan St, Suite 6n60, Portland, OR 97213-2933 Ph: (503) 281-0561 |
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