Jacquelyn Breaux, CRNA in Lawton, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Jacquelyn Breaux, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lawton, Oklahoma. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Deaconess Anesthesia Services, Llc, Hpi Physicians Llc and her current practice location is 3401 W Gore Blvd, Lawton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 355-8620.

Jacquelyn Breaux is licensed to practice in Oklahoma (license number 106676) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912444555.

Contact Information

	Jacquelyn Breaux, CRNA
	3401 W Gore Blvd, Lawton, OK 73505-6332
	(580) 355-8620
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelyn Breaux
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	3401 W Gore Blvd, Lawton, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyn Breaux graduated from nursing school in 2016

NPI Data:

NPI Number: 1912444555
Provider Enumeration Date: 01/20/2017
Last Update Date: 08/28/2025

Medicare PECOS Information:

PECOS PAC ID: 9436433224
Enrollment ID: I20170222001295

Medical Identifiers

Medical identifiers for Jacquelyn Breaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912444555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	106676 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integris Baptist Medical Center, Inc	Oklahoma city, OK	Hospital
Community Hospital, Llc	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Anesthesia Services, Llc	0042587842	22
Hpi Physicians Llc	6406048289	43

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. Jacquelyn Breaux allows following entities to bill medicare on her behalf.

Entity Name	Hpi Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205152600 PECOS PAC ID: 6406048289 Enrollment ID: O20101012000705

Entity Name	Anesthesia Medical Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187

Entity Name	Deaconess Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532

Entity Name	Western Oklahoma Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663

Entity Name	Western Oklahoma Anesthesia Consultants Woodward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715

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. Jacquelyn Breaux 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
Jacquelyn Breaux, CRNA 1208 S 19th St, Chickasha, OK 73018-3812 Ph: () -	Jacquelyn Breaux, CRNA 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lawton, OK

Manju Ani Thankachan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620
Christine Diane Harbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-9984
John D Fitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-591-1910 Fax: 580-536-2067
Dai An Le, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620
Virginia J Shaw-scherler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773
Beth A Allgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Nw Becontree Pl, Lawton, OK 73505 Phone: 580-536-2010 Fax: 580-536-5773
Kathleen Marie Feeley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 Fax: 580-357-3277

Jacquelyn Breaux, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lawton, OK