Charles J Breen, MD | |
315 E Caldonia Ave, Hillsboro, ND 58045 | |
(701) 436-5311 | |
(701) 436-4514 |
Full Name | Charles J Breen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 315 E Caldonia Ave, Hillsboro, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114944113 | NPI | - | NPPES |
17292 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6161 (North Dakota) | Primary |
207Q00000X | Family Medicine | 36008 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of Red River Valley | Fargo, ND | Hospice |
Sanford Hillsboro | Hillsboro, ND | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Sanford Mayville | Mayville, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Network North | 8022206663 | 83 |
Sanford Health Network North | 8022206663 | 83 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068 |
Mailing Address | Practice Location Address |
---|---|
Charles J Breen, MD 315 E Caldonia Ave, Po Box 639, Hillsboro, ND 58045 Ph: (701) 436-5311 | Charles J Breen, MD 315 E Caldonia Ave, Hillsboro, ND 58045 Ph: (701) 436-5311 |
Timothy J Luithle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Caledonia Ave, Hillsboro, ND 58045 Phone: 701-436-5311 Fax: 701-436-4514 |