Dagan M Breakfield Iii, CRNP is a
Obstetrics & Gynecology based in Madison, Alabama. Dagan M Breakfield Iii is licensed to practice in Alabama (license number MD33350) and her current practice location is
3825 Sullivan Street, Suite 2, Madison, Alabama. She can be reached at her office (for appointments etc.) via phone at
(256) 692-7492.
NPI number for Dagan M Breakfield Iii is 1154919736 and her current mailing address is 3825 Sullivan Street, Suite 2, Madison, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154919736.
Provider's Profile
Full Name | Dagan M Breakfield Iii |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 3825 Sullivan Street, Madison, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154919736
- Provider Enumeration Date: 01/08/2021
- Last Update Date: 11/14/2024
Medical Identifiers
Medical identifiers for Dagan M Breakfield Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154919736 | NPI | - | NPPES |
MD33350 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F01210174 (Alabama) | Secondary |
207V00000X | Obstetrics & Gynecology | MD33350 (Alabama) | Primary |
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. Dagan M Breakfield Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dagan M Breakfield Iii, CRNP 3825 Sullivan Street, Suite 2, Madison, AL 35758 Ph: (256) 692-7492 | Dagan M Breakfield Iii, CRNP 3825 Sullivan Street, Suite 2, Madison, AL 35758 Ph: (256) 692-7492 |
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