Breana Marie Matzen, CNM, ARNP is a medicare enrolled "Advanced Practice Midwife" in Middleburg, Florida. Her current practice location is
1658 St Vincents Way, Suite 130, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 264-1628.
Breana Marie Matzen is licensed to practice in Florida (license number ARNP9287898) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023388865.
Provider's Profile
| Full Name | Breana Marie Matzen |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1658 St Vincents Way, Middleburg, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023388865
- Provider Enumeration Date: 01/11/2012
- Last Update Date: 03/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658515036
- Enrollment ID: I20130925000553
Medical Identifiers
Medical identifiers for Breana Marie Matzen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023388865 | NPI | - | NPPES |
| Y09YP | Other | FL | BLUE CROSS BLUE SHIELD |
| 004589600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | ARNP9287898 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | ARNP9287898 (Florida) | Primary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP9287898 (Florida) | Secondary |
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. Breana Marie Matzen allows following entities to bill medicare on her behalf.
| Entity Name | Florida Woman Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386823243
PECOS PAC ID: 5395807218
Enrollment ID: O20081230000509 |
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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. Breana Marie Matzen 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 |
|---|
Breana Marie Matzen, CNM, ARNP
1658 St Vincents Way, Suite 130,
Middleburg, FL 32068-8446
Ph: (904) 264-1628 | Breana Marie Matzen, CNM, ARNP
1658 St Vincents Way, Suite 130,
Middleburg, FL 32068-8446
Ph: (904) 264-1628 |
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