Breanne M Jaqua, DO in Gilbert, AZ - Medicare Emergency Medicine

Breanne M Jaqua, DO is a medicare enrolled "Emergency Medicine" physician in Gilbert, Arizona. Her current practice location is 1501 N Gilbert Rd, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 728-4100.

Breanne M Jaqua is licensed to practice in Arizona (license number 008620) 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 1821520313.

Contact Information

	Breanne M Jaqua, DO
	1501 N Gilbert Rd, Gilbert, AZ 85234-2390
	(480) 728-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Breanne M Jaqua
Gender	Female
Speciality	Emergency Medicine
Location	1501 N Gilbert Rd, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821520313
Provider Enumeration Date: 04/03/2017
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 8729357520
Enrollment ID: I20220915001952

Medical Identifiers

Medical identifiers for Breanne M Jaqua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821520313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	34.013802 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	008620 (Arizona)	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. Breanne M Jaqua allows following entities to bill medicare on her behalf.

Entity Name	Tec Emergency Physicians Of Arizona, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157

Entity Name	Dignity Community Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700910189 PECOS PAC ID: 9032458013 Enrollment ID: O20220909003085

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. Breanne M Jaqua 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
Breanne M Jaqua, DO 1501 N Gilbert Rd Fl 1, Gilbert, AZ 85234-2390 Ph: (480) 728-4100	Breanne M Jaqua, DO 1501 N Gilbert Rd, Gilbert, AZ 85234-2390 Ph: (480) 728-4100

Reviews and Comments

Emergency Medicine Doctors in Gilbert, AZ

Kevin Skinner, M.D., D.P.M. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2963 E Robin Ln, Gilbert, AZ 85296 Phone: 480-399-4577
Mr. David Seth Zimmerman, PAC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2485
Dr. Jeff Sawyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3126 S Higley Rd, 109, Gilbert, AZ 85295 Phone: 480-840-3075 Fax: 480-988-0061
Laurie A Dawson, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3451 S Mercy Rd, Gilbert, AZ 85297 Phone: 888-515-3900
Ms. Sally Fayrweather Jackson, HRN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3303 E Baseline Rd Ste 108, Gilbert, AZ 85234 Phone: 480-590-5833
Timothy A Johns, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 Phone: 480-984-2000 Fax: 480-279-5836
John M. Altic, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 888 S Greenfield Rd #101, Gilbert, AZ 85296 Phone: 480-892-1300 Fax: 480-507-7477

Breanne M Jaqua, DO - Medicare Emergency Medicine in Gilbert, AZ