Dr Breanna L Lustre, MD in Nashville, TN

Dr Breanna L Lustre, MD is a medicare enrolled "Pediatrics" physician in Nashville, Tennessee. Her current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 322-3000.

Dr Breanna L Lustre is licensed to practice in Tennessee (license number 0000061193) 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 1851651236.

Contact Information

	Dr Breanna L Lustre, MD
	3601 The Vanderbilt Clinic, Nashville, TN 37232-0001
	(615) 322-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Breanna L Lustre
Gender	Female
Speciality	Pediatrics
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851651236
Provider Enumeration Date: 05/21/2012
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8224343645
Enrollment ID: I20180827000232

Medical Identifiers

Medical identifiers for Dr Breanna L Lustre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851651236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0000061193 (Tennessee)	Primary
208000000X	Pediatrics	A149146 (California)	Secondary

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. Dr Breanna L Lustre allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578672184 PECOS PAC ID: 3577476761 Enrollment ID: O20031211000464

Entity Name	Uc San Diego Health Community Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659864247 PECOS PAC ID: 3971849175 Enrollment ID: O20190109000943

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. Dr Breanna L Lustre 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
Dr Breanna L Lustre, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000	Dr Breanna L Lustre, MD 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 Ph: (615) 322-3000

Reviews and Comments

Pediatrics Doctors in Nashville, TN

George Anne Raines, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000
Jenny Kingsley, Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Childrens Way, Suite 2404, Nashville, TN 37232 Phone: 615-936-1000
Dr. Zenarosa C Salcedo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 339 White Bridge Pike, Nashville, TN 37209 Phone: 615-356-6877 Fax: 615-356-8270
Dr. Deborah P Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000
Joseph Gigante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Dr. Michael Warren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Childrens Way, Dot 8232, Nashville, TN 37232 Phone: 615-936-2425 Fax: 615-343-4655
Ben Hunter Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000

Dr Breanna L Lustre, MD - Medicare Pediatrics in Nashville, TN