Breanna Marie Bievenue, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Stanton, Tennessee. Her current practice location is
17 1st St E, Stanton, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 548-2232.
Breanna Marie Bievenue is licensed to practice in Tennessee (license number 36712) 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 1265260178.
Provider's Profile
| Full Name | Breanna Marie Bievenue |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 17 1st St E, Stanton, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265260178
- Provider Enumeration Date: 07/23/2024
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204365422
- Enrollment ID: I20250131002994
Medical Identifiers
Medical identifiers for Breanna Marie Bievenue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265260178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 36712 (Tennessee) | 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. Breanna Marie Bievenue allows following entities to bill medicare on her behalf.
| Entity Name | Hardeman County Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861468340
PECOS PAC ID: 5799694147
Enrollment ID: O20040615001290 |
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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. Breanna Marie Bievenue 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 |
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Breanna Marie Bievenue, FNP-C
178 Stephanie St,
Millington, TN 38053-5520
Ph: (618) 521-4094 | Breanna Marie Bievenue, FNP-C
17 1st St E,
Stanton, TN 38069-4426
Ph: (731) 548-2232 |
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