Mrs Makenzie Julia Breitbach, FNP - Medicare Nurse Practitioner in Jamestown, ND

Mrs Makenzie Julia Breitbach, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jamestown, North Dakota. Her current practice location is 2422 20th St Sw, Jamestown, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 953-1050.

Mrs Makenzie Julia Breitbach is licensed to practice in North Dakota (license number R41764) 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 1164196473.

Contact Information

Mrs Makenzie Julia Breitbach, FNP
2422 20th St Sw,
Jamestown, ND 58401-6201
(701) 953-1050
Not Available



Provider's Profile

Full NameMrs Makenzie Julia Breitbach
GenderFemale
SpecialityNurse Practitioner - Family
Location2422 20th St Sw, Jamestown, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164196473
  • Provider Enumeration Date: 08/02/2021
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345639498
  • Enrollment ID: I20211111001933

Medical Identifiers

Medical identifiers for Mrs Makenzie Julia Breitbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164196473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R41764 (North Dakota)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. Mrs Makenzie Julia Breitbach allows following entities to bill medicare on her behalf.
Entity NameLutheran Charity Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821044652
PECOS PAC ID: 2264341031
Enrollment ID: O20040128000565

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Entity NameLutheran Charity Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548256753
PECOS PAC ID: 2264341031
Enrollment ID: O20080616000530

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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. Mrs Makenzie Julia 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 AddressPractice Location Address
Mrs Makenzie Julia Breitbach, FNP
1100 2nd Ave Sw,
Rugby, ND 58368-2402

Ph: (701) 710-1429
Mrs Makenzie Julia Breitbach, FNP
2422 20th St Sw,
Jamestown, ND 58401-6201

Ph: (701) 953-1050

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Nurse Practitioner Nurses in Jamestown, ND

Mrs. Jessica Rae Gardner, N.P.-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 920 10th St Se, Jamestown, ND 58401
Phone: 701-365-8700    Fax: 701-365-8701
Patricia Richter, FNP, CNM
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2430 20th Swst 8, Jamestown, ND 58401
Phone: 701-952-4787    Fax: 701-952-4786
Todd J. Mcdowell, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2605 Circle Dr, Jamestown, ND 58401
Phone: 701-253-3282    Fax: 701-253-3999
Mrs. Anne Marie Manyango, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2521 Circle Dr, Jamestown, ND 58401
Phone: 701-253-3712    Fax: 701-253-3667
Candida D Hoggarth-baldwin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Circle Dr, North Dakota State Hospital, Jamestown, ND 58401
Phone: 701-253-3650    Fax: 701-253-3999
Rebecca Lafavor, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 1st Ave S Ste A, Jamestown, ND 58401
Phone: 701-368-4380    Fax: 701-540-6818
Amanda S Wiles, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 904 5th Ave Ne, Jamestown, ND 58401
Phone: 701-253-4000    

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