Karl Heinz Breuing, MD - Medicare Plastic And Reconstructive Surgery in Providence, RI

Karl Heinz Breuing, MD is a medicare enrolled "Plastic Surgery" physician in Providence, Rhode Island. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is 235 Plain St, Ste 501, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-5495.

Karl Heinz Breuing is licensed to practice in Rhode Island (license number MD14821) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720044472.

Contact Information

Karl Heinz Breuing, MD
235 Plain St, Ste 501,
Providence, RI 02905-3240
(401) 444-5495
(401) 444-5716

Map and Direction




Physician's Profile

Full NameKarl Heinz Breuing
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience44 Years
Location235 Plain St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karl Heinz Breuing graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1720044472
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 04/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688674484
  • Enrollment ID: I20150305000499

Medical Identifiers

Medical identifiers for Karl Heinz Breuing such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720044472NPI-NPPES
1720044472MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery MD14821 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082634

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. Karl Heinz Breuing allows following entities to bill medicare on his behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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. Karl Heinz Breuing 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 AddressPractice Location Address
Karl Heinz Breuing, MD
117 Ellefield Street, Suite 101,
Providence, RI 02905-4513

Ph: (401) 444-4318
Karl Heinz Breuing, MD
235 Plain St, Ste 501,
Providence, RI 02905-3240

Ph: (401) 444-5495

Reviews and Comments


Plastic Surgery Doctors in Providence, RI

Rachel Aileen Sullivan, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-649-4901    Fax: 401-649-4903
Damon Mcintire,
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    Fax: 401-444-4863
James Weintrub, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 34 Barnes St, Providence, RI 02906
Phone: 401-274-2744    
Amy Claire Kite, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 235 Plain St Ste 203, Providence, RI 02905
Phone: 401-444-2701    
Dr. Solomon Swartz, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4188    
Jonathan P Brower, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 235 Plain St Ste 202, Providence, RI 02905
Phone: 401-425-5232    Fax: 401-425-5334
Richard J Zienowicz, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Dudley St, Ste 380, Providence, RI 02905
Phone: 401-453-0120    Fax: 401-453-0198

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.