Dr Charles W Breaux Jr, MD in Reno, NV

Dr Charles W Breaux Jr, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Reno, Nevada. His current practice location is 1155 Mill St, Reno, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 982-2125.

Dr Charles W Breaux Jr is licensed to practice in Nevada (license number 26701) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407844301.

Contact Information

	Dr Charles W Breaux Jr, MD
	1155 Mill St, Reno, NV 89502-1576
	(775) 982-2125
	(775) 982-2170

Map and Direction

Physician's Profile

Full Name	Dr Charles W Breaux Jr
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	1155 Mill St, Reno, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407844301
Provider Enumeration Date: 10/13/2005
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1759436553
Enrollment ID: I20090831000403

Medical Identifiers

Medical identifiers for Dr Charles W Breaux Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407844301	NPI	-	NPPES
01352111	Medicaid	CO
BRB1426	Other	CO	BCBS PROVIDER NUMBER
10025031	Medicaid	NM
250035791	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	11154 (Alabama)	Secondary
208600000X	Surgery	35211 (Colorado)	Secondary
208600000X	Surgery	26701 (Nevada)	Secondary
2086S0102X	Surgery - Surgical Critical Care	11154 (Alabama)	Secondary
2086S0102X	Surgery - Surgical Critical Care	35211 (Colorado)	Secondary
2086S0120X	Surgery - Pediatric Surgery	11154 (Alabama)	Secondary
2086S0120X	Surgery - Pediatric Surgery	35211 (Colorado)	Secondary
2086S0120X	Surgery - Pediatric Surgery	26701 (Nevada)	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. Dr Charles W Breaux Jr allows following entities to bill medicare on his behalf.

Entity Name	Intermountain Medical Group Grand Junction, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363

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 Charles W Breaux Jr 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 Charles W Breaux Jr, MD Po Box 507, Fruita, CO 81521-0507 Ph: () -	Dr Charles W Breaux Jr, MD 1155 Mill St, Reno, NV 89502-1576 Ph: (775) 982-2125

Reviews and Comments

Surgery Doctors in Reno, NV

John Lloyd Haller, MD Surgery Medicare: Medicare Enrolled Practice Location: 1500 E 2nd St, Suite 206, Reno, NV 89502 Phone: 775-789-7000 Fax: 775-789-7040
Colleen M O'kelly Priddy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St Ste 300, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900
Dr. Mitzi M Miller, MD Surgery Medicare: Medicare Enrolled Practice Location: 975 Kirman Ave # 112, Reno, NV 89502 Phone: 775-328-1242 Fax: 775-337-2204
Alvaro H Devia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6554 S Mccarran Blvd, #b, Reno, NV 89509 Phone: 775-324-0288 Fax: 775-323-5504
Michael Gainey, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-786-7200
Philip G Lisagor, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Locust St, Reno, NV 89502 Phone: 775-328-1242
Nicholas Manguso, MD Surgery Medicare: Medicare Enrolled Practice Location: 1500 E 2nd St Ste 300, Reno, NV 89502 Phone: 775-982-5000 Fax: 775-982-3900

Dr Charles W Breaux Jr, MD - Medicare Surgery in Reno, NV