Andrew Breedlove, is a medicare enrolled "Social Worker - Clinical" provider in Rocklin, California. His current practice location is
3175 Sunset Blvd, Suite 104a, Rocklin, California. You can reach out to his office (for appointments etc.) via phone at
(916) 622-6579.
Andrew Breedlove is licensed to practice in * (Not Available) (license number ) 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 1629089586.
Healthcare Provider's Profile
| Full Name | Andrew Breedlove |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3175 Sunset Blvd, Rocklin, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629089586
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 03/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 5395981476
- Enrollment ID: I20130416000138
Medical Identifiers
Medical identifiers for Andrew Breedlove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629089586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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. Andrew Breedlove 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 |
|---|
Andrew Breedlove,
5215 Whitney Blvd,
Rocklin, CA 95677-2252
Ph: (916) 622-6579 | Andrew Breedlove,
3175 Sunset Blvd, Suite 104a,
Rocklin, CA 95677-3091
Ph: (916) 622-6579 |
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