Kelsey Breig, in Gardena, CA - Medicare Nurse Practitioner

Kelsey Breig, is a medicare enrolled "Nurse Practitioner - Family" in Gardena, California. Her current practice location is 742 W Gardena Blvd, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 327-1357.

Kelsey Breig is licensed to practice in California (license number 95007304) 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 1578076055.

Contact Information

	Kelsey Breig,
	742 W Gardena Blvd, Gardena, CA 90247-5024
	(310) 327-1357
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Breig
Gender	Female
Speciality	Nurse Practitioner - Family
Location	742 W Gardena Blvd, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578076055
Provider Enumeration Date: 11/07/2017
Last Update Date: 12/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2365709839
Enrollment ID: I20240223003253

Medical Identifiers

Medical identifiers for Kelsey Breig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578076055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007304 (California)	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. Kelsey Breig allows following entities to bill medicare on her behalf.

Entity Name	Venice Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082

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. Kelsey Breig 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
Kelsey Breig, Po Box 4571, Palos Verdes Peninsula, CA 90274-9608 Ph: () -	Kelsey Breig, 742 W Gardena Blvd, Gardena, CA 90247-5024 Ph: (310) 327-1357

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

Starly Alvarado, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730
Blessing Otaniyen Omoruyi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1229 W 164th St Apt D, Gardena, CA 90247 Phone: 323-674-3445 Fax: 323-544-4319
Jina Ko Yang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-851-4705
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273

Kelsey Breig, - Medicare Nurse Practitioner in Gardena, CA