Jill Efta Breitbach, PSY D is a medicare enrolled "Clinical Neuropsychologist" provider in Coeur D Alene, Idaho. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
509 W Hanley Ave Ste 101, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 666-0357.
Jill Efta Breitbach is licensed to practice in Idaho (license number 203499) 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 1487626529.
Healthcare Provider's Profile
| Full Name | Jill Efta Breitbach |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 23 Years |
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| Location | 509 W Hanley Ave Ste 101, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jill Efta Breitbach graduated from medical school in 2003
NPI Data:
- NPI Number: 1487626529
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 01/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 6002288396
- Enrollment ID: I20230215000641
Medical Identifiers
Medical identifiers for Jill Efta Breitbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487626529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 203499 (Idaho) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 203499 (Idaho) | 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. Jill Efta Breitbach allows following entities to bill medicare on her behalf.
| Entity Name | The Gordian Mind |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356054423
PECOS PAC ID: 5193197481
Enrollment ID: O20230215000493 |
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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. Jill Efta Breitbach 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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Jill Efta Breitbach, PSY D
509 W Hanley Ave Ste 101,
Coeur D Alene, ID 83815-8994
Ph: (208) 666-0357 | Jill Efta Breitbach, PSY D
509 W Hanley Ave Ste 101,
Coeur D Alene, ID 83815-8994
Ph: (208) 666-0357 |
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