| Mackenzie Breazeale, | |
|
800 Lakeshore Dr, Birmingham, AL 35229-0001 | |
| (205) 726-2011 | |
| Not Available |
| Full Name | Mackenzie Breazeale |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 800 Lakeshore Dr, Birmingham, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043039720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospital And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1758 |
| Entity Name | University of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Breazeale, 800 Lakeshore Dr, Birmingham, AL 35229-0001 Ph: Not Available | Mackenzie Breazeale, 800 Lakeshore Dr, Birmingham, AL 35229-0001 Ph: (205) 726-2011 |
Samuel Gilbert Sellers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 208-228-7601 |
Kathryn Elise Chappell Mahaffey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411 |
Dana Diesi Craft, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 19th St S # 112, Birmingham, AL 35233 Phone: 337-316-9823 |
John Pellerin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 833 Saint Vincents Dr Ste 403, Birmingham, AL 35205 Phone: 205-939-0447 |
Addy Lynne Hoezee-girnus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6234 Tattersall Blvd, Birmingham, AL 35242 Phone: 205-453-4195 Fax: 205-533-7385 |
Gregory Howard Houston, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243 Phone: 205-971-1750 Fax: 205-971-1751 |
Caroline Jackson Hilliard, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-2240 |