Brent Clayton Breedlove, PA-C is a medicare enrolled "Physician Assistant" physician in Oak Ridge, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Eagle Physicians And Associates Pa and his current practice location is
1510 Nc Highway 68 N, Oak Ridge, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 644-0111.
Brent Clayton Breedlove is licensed to practice in North Carolina (license number 0010-11324) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417525304.
Physician's Profile
| Full Name | Brent Clayton Breedlove |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 1510 Nc Highway 68 N, Oak Ridge, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brent Clayton Breedlove attended and graduated from Wake Forest University School Of Medicine in 2021
NPI Data:
- NPI Number: 1417525304
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 07/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0941603179
- Enrollment ID: I20210727000254
Medical Identifiers
Medical identifiers for Brent Clayton Breedlove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417525304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 001011324 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-11324 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eagle Physicians And Associates Pa | 0244134468 | 93 |
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. Brent Clayton 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 |
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Brent Clayton Breedlove, PA-C
1221 Red Oak Ln,
Winston Salem, NC 27106-4442
Ph: (919) 584-2913 | Brent Clayton Breedlove, PA-C
1510 Nc Highway 68 N,
Oak Ridge, NC 27310-9733
Ph: (336) 644-0111 |
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