Mrs Stacey Breshears, MS, RD, CDCES in Honolulu, HI - Medicare Dietitian, Registered Provider

Mrs Stacey Breshears, MS, RD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Honolulu, Hawaii. Her current practice location is 1050 Queen St Ste 100, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (802) 333-0057.

Mrs Stacey Breshears is licensed to practice in * (Not Available) (license number ) 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 1619342573.

Contact Information

	Mrs Stacey Breshears, MS, RD, CDCES
	1050 Queen St Ste 100, Honolulu, HI 96814-4130
	(802) 333-0057
	(833) 672-3405

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacey Breshears
Gender	Female
Speciality	Dietitian, Registered
Location	1050 Queen St Ste 100, Honolulu, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619342573
Provider Enumeration Date: 12/03/2015
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9234431438
Enrollment ID: I20160105001988

Medical Identifiers

Medical identifiers for Mrs Stacey Breshears such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619342573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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 Stacey Breshears allows following entities to bill medicare on her behalf.

Provider Name	American Indian Health & Services Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740222934 PECOS PAC ID: 3375527880 Enrollment ID: O20040614001054

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 Stacey Breshears 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
Mrs Stacey Breshears, MS, RD, CDCES 1050 Queen St Ste 100, Honolulu, HI 96814-4130 Ph: (808) 620-5553	Mrs Stacey Breshears, MS, RD, CDCES 1050 Queen St Ste 100, Honolulu, HI 96814-4130 Ph: (802) 333-0057

Reviews and Comments

Dietitian, Registered in Honolulu, HI

Miss Erika Ho'onani Chinn-galindo, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 915 N King St, Honolulu, HI 96817 Phone: 808-841-0011 Fax: 808-842-1002
Ms. Kami Suzu Nishimura, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 888 South King Street, Suite 940 Health Management, First Insurance Center,, Honolulu, HI 96813 Phone: 808-522-4325 Fax: 808-522-2484
Christine Kajiwara, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-8653
Alison Bright, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1319 Punahou Street, Food & Nutrition Services Dept-2nd Floor, Honolulu, HI 96826 Phone: 808-983-8804 Fax: 808-983-6092
Nourish Wellness Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 N Vineyard Blvd Ste, A325 #1122, Honolulu, HI 96817 Phone: 646-400-8723 Fax: 808-663-0321
Hee Bong Hyun, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2226 Liliha St, Honolulu, HI 96817 Phone: 808-547-6288
Casey Shimokawa, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 808-432-5770

Mrs Stacey Breshears, MS, RD, CDCES - Medicare Dietitian in Honolulu, HI