Dr Edwin E Breitenbach, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Tustin, California. His current practice location is
2601 Augusta, Tustin, California. You can reach out to his office (for appointments etc.) via phone at
(714) 730-0087.
Dr Edwin E Breitenbach is licensed to practice in California (license number GFE16157) 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 1871804187.
Physician's Profile
Full Name | Dr Edwin E Breitenbach |
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Gender | Male |
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Speciality | Otolaryngology - Facial Plastic Surgery |
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Location | 2601 Augusta, Tustin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871804187
- Provider Enumeration Date: 07/01/2010
- Last Update Date: 07/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 2365745320
- Enrollment ID: I20160125002500
Medical Identifiers
Medical identifiers for Dr Edwin E Breitenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871804187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YS0123X | Otolaryngology - Facial Plastic Surgery | GFE16157 (California) | Primary |
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 Edwin E Breitenbach 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 Edwin E Breitenbach, MD 2601 Augusta, Tustin, CA 92782-1201 Ph: (714) 730-0087 | Dr Edwin E Breitenbach, MD 2601 Augusta, Tustin, CA 92782-1201 Ph: (714) 730-0087 |
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