Jeffrey R Breneisen, MD | |
1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 | |
(707) 646-4400 | |
(707) 646-4401 |
Full Name | Jeffrey R Breneisen |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 31 Years |
Location | 1860 Pennsylvania Ave, Fairfield, California |
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 |
---|---|---|---|
1629058615 | NPI | - | NPPES |
00G866770 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | G86677 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northbay Medical Center | Fairfield, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northbay Healthcare Group | 0042122244 | 244 |
Entity Name | Northbay Healthcare Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Entity Name | Jeffrey Breneisen Md Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851626394 PECOS PAC ID: 8628111549 Enrollment ID: O20100201000426 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey R Breneisen, MD 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 Ph: (707) 646-4400 | Jeffrey R Breneisen, MD 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 Ph: (707) 646-4400 |
Dr. Anne An-ru Chen, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1127 Texas St, Suite A, Fairfield, CA 94533 Phone: 707-426-6060 | |
Dr. Myo Swe Chang, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 103 Bodin Cir, Bld 778, Fairfield, CA 94535 Phone: 707-437-1817 Fax: 707-437-1809 | |
Genieve Marie Martinez-hernandez, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 Phone: 707-423-7342 | |
Elizabeth W. Fernandes, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5053 | |
Dr. Jeannette Peterson, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1261 Travis Blvd, Suite 100, Fairfield, CA 94533 Phone: 707-422-0543 Fax: 707-422-0549 | |
Warren Joseph A San Diego, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5080 | |
Maria Conley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 |