Jill Maria Breyen, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Redlake, Minnesota. Her current practice location is
Hwy 1, Redlake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 679-3912.
Jill Maria Breyen is licensed to practice in Minnesota (license number 2050) 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 1952475063.
Healthcare Provider's Profile
| Full Name | Jill Maria Breyen |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | Hwy 1, Redlake, Minnesota |
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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: 1952475063
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 01/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577722461
- Enrollment ID: I20120313000406
Medical Identifiers
Medical identifiers for Jill Maria Breyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952475063 | NPI | - | NPPES |
| 2050 | Other | MN | DIETETICS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2050 (Minnesota) | 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 Maria Breyen allows following entities to bill medicare on her behalf.
| Provider Name | Phs Indian Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508809765
PECOS PAC ID: 4789598731
Enrollment ID: O20031114000287 |
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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 Maria Breyen 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 |
|---|
Jill Maria Breyen, RD,LD
Po Box 497,
Redlake, MN 56671-0497
Ph: (218) 679-3912 | Jill Maria Breyen, RD,LD
Hwy 1,
Redlake, MN 56671-0497
Ph: (218) 679-3912 |
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