| Mrs Elizabeth Ann Breedlove, FNP | |
|
810 N Hill St, Suite 2, Tatum, TX 75691-1740 | |
| (903) 947-2020 | |
| (903) 947-3292 |
| Full Name | Mrs Elizabeth Ann Breedlove |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 810 N Hill St, Tatum, Texas |
| 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 |
|---|---|---|---|
| 1982844213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 691969 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Breedlove Wound Care Of Texas Llc | 3375067093 | 6 |
| Elizabeth Breedlove Family Practice And Aesthetics Pllc | 9335293380 | 3 |
| Entity Name | Elizabeth Breedlove Family Practice & Aesthetics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356740054 PECOS PAC ID: 9335293380 Enrollment ID: O20090811000270 |
| Entity Name | Cherokee Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902470669 PECOS PAC ID: 7810389202 Enrollment ID: O20220329001176 |
| Entity Name | Breedlove Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417772997 PECOS PAC ID: 3274055694 Enrollment ID: O20250314001739 |
| Entity Name | Breedlove Wound Care Of Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841013257 PECOS PAC ID: 3375067093 Enrollment ID: O20250403001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Ann Breedlove, FNP 810 N Hill St, Suite 2, Tatum, TX 75691-1740 Ph: (903) 947-2020 | Mrs Elizabeth Ann Breedlove, FNP 810 N Hill St, Suite 2, Tatum, TX 75691-1740 Ph: (903) 947-2020 |
Heather Grindle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 N Hill St, Tatum, TX 75691 Phone: 903-947-6300 Fax: 903-947-2408 |