Ms Elise Erin Breen, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Travis Afb, California. Her current practice location is
101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at
(707) 423-3000.
Ms Elise Erin Breen is licensed to practice in California (license number LCSW79555) 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 1710049796.
Healthcare Provider's Profile
| Full Name | Ms Elise Erin Breen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 101 Bodin Cir, Travis Afb, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710049796
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 12/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749317477
- Enrollment ID: I20100428000663
Medical Identifiers
Medical identifiers for Ms Elise Erin Breen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710049796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00120300 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05289300 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW79555 (California) | 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. Ms Elise Erin Breen allows following entities to bill medicare on her behalf.
| Entity Name | David Helfgott Psyd Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598184780
PECOS PAC ID: 8628296720
Enrollment ID: O20140903001365 |
|---|
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. Ms Elise Erin Breen 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 |
|---|
Ms Elise Erin Breen, LCSW, LCADC
101 Bodin Cir,
Travis Afb, CA 94535-1809
Ph: (707) 423-3000 | Ms Elise Erin Breen, LCSW, LCADC
101 Bodin Cir,
Travis Afb, CA 94535-1809
Ph: (707) 423-3000 |
Reviews and Comments