Dr Richard I Breazeale, MD | |
1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | |
(423) 756-1512 | |
(423) 756-1004 |
Full Name | Dr Richard I Breazeale |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 30 Years |
Location | 1605 Williams Rd, Hixson, Tennessee |
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 |
---|---|---|---|
1801892146 | NPI | - | NPPES |
000860318C | Medicaid | GA | |
009937405 | Medicaid | AL | |
3841514 | Medicaid | TN | |
000860318E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0107X | Ophthalmology - Retina Specialist | 56089 (Georgia) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 31597 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Retina Associates Pc | 7517862360 | 19 |
Southeastern Retina Associates Pc | 7517862360 | 19 |
Entity Name | Southeastern Retina Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104097310 PECOS PAC ID: 7517862360 Enrollment ID: O20031204000507 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard I Breazeale, MD 320 Prosperity Dr, Knoxville, TN 37923-4709 Ph: (423) 756-1512 | Dr Richard I Breazeale, MD 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 Ph: (423) 756-1512 |
Devon Ghodasra, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1605 Williams Rd, Ste 201, Hixson, TN 37343 Phone: 423-756-1002 | |
Asghar Haider, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1605 Williams Rd Ste 201, Hixson, TN 37343 Phone: 423-756-1002 Fax: 423-756-1004 | |
Rohan Shah, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1605 Williams Rd, Ste 201, Hixson, TN 37343 Phone: 423-756-1002 Fax: 423-756-1004 | |
Dr. Francis C Decroos, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1605 Williams Rd, Ste 201, Hixson, TN 37343 Phone: 423-756-1002 Fax: 423-756-1004 |