Dr Mark Douglas Breithaupt, PHD - Medicare Psychologist in San Jose, CA

Dr Mark Douglas Breithaupt, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Jose, California. His current practice location is 1100 Lincoln Ave Ste 394, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 320-2747.

Dr Mark Douglas Breithaupt is licensed to practice in Hawaii (license number PSY 499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053436337.

Contact Information

Dr Mark Douglas Breithaupt, PHD
1100 Lincoln Ave Ste 394,
San Jose, CA 95125
(408) 320-2747
(408) 320-2747



Healthcare Provider's Profile

Full NameDr Mark Douglas Breithaupt
GenderMale
SpecialityPsychologist - Clinical
Location1100 Lincoln Ave Ste 394, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053436337
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 09/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2264455120
  • Enrollment ID: I20060106000439

Medical Identifiers

Medical identifiers for Dr Mark Douglas Breithaupt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053436337NPI-NPPES
A 3812-3OtherHIHMSA
03451701MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY 499 (Hawaii)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Secondary
106H00000XMarriage & Family Therapist PSY 499 (Hawaii)Secondary
103TC0700XPsychologist - Clinical PSY 499 (Hawaii)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. Dr Mark Douglas Breithaupt allows following entities to bill medicare on his behalf.
Entity NameCommunity Clinic Of Maui, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528042561
PECOS PAC ID: 2466365440
Enrollment ID: O20040219000740

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› Verified 2 days ago

Entity NameMark D Breithaupt Phd Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902115082
PECOS PAC ID: 8123208618
Enrollment ID: O20110216000359

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Peak of Australian flu season is imminent so take the necessary precautions now: Experts

The Influenza Specialist Group (ISG) is today warning that high rates of influenza outbreaks have been confirmed in QLD, SA and NSW, but there is still time for most Australians, especially those in at-risk groups, to protect themselves and those around them.

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According to Statistics Sweden, 30 percent of all parents of young children in Sweden separate. Researchers at the University of Gothenburg have mapped the most important factors behind the separations and divorces - and offer five tips that can save the relationship.

CASI Pharmaceuticals reports net loss of $1.8 million for first quarter 2015

CASI Pharmaceuticals, Inc., a biopharmaceutical company dedicated to the acquisition, development and commercialization of innovative therapeutics addressing cancer and other unmet medical needs for the global market with a commercial focus on China today reported financial results for the three months ended March 31, 2015.

Study: Physician psychotherapy only available to a fraction of those with urgent mental health needs

Publicly-funded physician psychotherapy is only available to a fraction of those with urgent mental health needs in Ontario, according to a joint study by the Centre for Addiction and Mental Health (CAMH) and ICES published today in CMAJ Open.

EC grants orphan drug designation to TxCell's Col-Treg for treatment of autoimmune uveitis

TxCell SA, a biotechnology company developing innovative, cost-effective, personalized T cell immunotherapies using antigen specific regulatory T-cells (Ag-Tregs) for severe chronic inflammatory and autoimmune diseases, announces today that the European Commission (EC) has granted orphan drug designation to TxCell's investigational medicinal product Col-Treg, a personalized T cell immunotherapy using collagen-II specific regulatory T-cells, for the treatment of autoimmune uveitis.

Read more Medical News

› Verified 2 days ago

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. Dr Mark Douglas Breithaupt 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
Dr Mark Douglas Breithaupt, PHD
Po Box 8396,
San Jose, CA 95155-8396

Ph: (408) 320-2747
Dr Mark Douglas Breithaupt, PHD
1100 Lincoln Ave Ste 394,
San Jose, CA 95125

Ph: (408) 320-2747

News Archive

Peak of Australian flu season is imminent so take the necessary precautions now: Experts

The Influenza Specialist Group (ISG) is today warning that high rates of influenza outbreaks have been confirmed in QLD, SA and NSW, but there is still time for most Australians, especially those in at-risk groups, to protect themselves and those around them.

Researchers offer five tips that could save relationships of parents with young children

According to Statistics Sweden, 30 percent of all parents of young children in Sweden separate. Researchers at the University of Gothenburg have mapped the most important factors behind the separations and divorces - and offer five tips that can save the relationship.

CASI Pharmaceuticals reports net loss of $1.8 million for first quarter 2015

CASI Pharmaceuticals, Inc., a biopharmaceutical company dedicated to the acquisition, development and commercialization of innovative therapeutics addressing cancer and other unmet medical needs for the global market with a commercial focus on China today reported financial results for the three months ended March 31, 2015.

Study: Physician psychotherapy only available to a fraction of those with urgent mental health needs

Publicly-funded physician psychotherapy is only available to a fraction of those with urgent mental health needs in Ontario, according to a joint study by the Centre for Addiction and Mental Health (CAMH) and ICES published today in CMAJ Open.

EC grants orphan drug designation to TxCell's Col-Treg for treatment of autoimmune uveitis

TxCell SA, a biotechnology company developing innovative, cost-effective, personalized T cell immunotherapies using antigen specific regulatory T-cells (Ag-Tregs) for severe chronic inflammatory and autoimmune diseases, announces today that the European Commission (EC) has granted orphan drug designation to TxCell's investigational medicinal product Col-Treg, a personalized T cell immunotherapy using collagen-II specific regulatory T-cells, for the treatment of autoimmune uveitis.

Read more News

› Verified 2 days ago


Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1927 Otoole Way, San Jose, CA 95131
Phone: 707-861-8276    
Christina Wing In Gee,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2039 Forest Ave Ste 201, San Jose, CA 95128
Phone: 408-358-8090    
Marie Roman-clifton, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128
Phone: 408-885-4445    
Dr. Jennifer Gregg, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192
Phone: 650-743-7230    
Mr. Donald B Dufford, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124
Phone: 408-559-9088    Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Zanker Road, San Jose, CA 95134
Phone: 408-451-6198    
Dr. Kelly Sue Lynch, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126
Phone: 408-261-7777    Fax: 408-259-2273

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