Breyocha Dewalt, NP - Medicare Nurse Practitioner in Memphis, TN

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Breyocha Dewalt, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Memphis, Tennessee. Her current practice location is 1211 Union Ave Ste 965, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 435-8550.

Breyocha Dewalt is licensed to practice in Tennessee (license number 34590) 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 1548045263.

Contact Information

Breyocha Dewalt, NP
1211 Union Ave Ste 965,
Memphis, TN 38104-6638
(901) 435-8550
(901) 478-0781

Map and Direction




Provider's Profile

Full NameBreyocha Dewalt
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1211 Union Ave Ste 965, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548045263
  • Provider Enumeration Date: 08/30/2023
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355795139
  • Enrollment ID: I20230927003033

Medical Identifiers

Medical identifiers for Breyocha Dewalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548045263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 0000223825 (Tennessee)Secondary
363LA2100XNurse Practitioner - Acute Care 34590 (Tennessee)Primary

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. Breyocha Dewalt allows following entities to bill medicare on her behalf.
Entity NameSpecialty Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174842181
PECOS PAC ID: 9537291323
Enrollment ID: O20100714000297

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. Breyocha Dewalt 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
Breyocha Dewalt, NP
Po Box 1000, Dept 960,
Memphis, TN 38148-0001

Ph: (901) 758-9900		Breyocha Dewalt, NP
1211 Union Ave Ste 965,
Memphis, TN 38104-6638

Ph: (901) 435-8550

Reviews and Comments


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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.