Mr Keith Owen Breaux, NP in Ruston, LA - Medicare Nurse Practitioner

Mr Keith Owen Breaux, NP is a medicare enrolled "Nurse Practitioner" in Ruston, Louisiana. His current practice location is 401 E Vaughn Ave, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 254-2100.

Mr Keith Owen Breaux is licensed to practice in Louisiana (license number 207900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144889320.

Contact Information

	Mr Keith Owen Breaux, NP
	401 E Vaughn Ave, Ruston, LA 71270-5950
	(318) 254-2100
	(318) 254-2728

Map and Direction

Provider's Profile

Full Name	Mr Keith Owen Breaux
Gender	Male
Speciality	Nurse Practitioner
Location	401 E Vaughn Ave, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144889320
Provider Enumeration Date: 06/11/2019
Last Update Date: 12/19/2019

Medicare PECOS Information:

PECOS PAC ID: 4385974930
Enrollment ID: I20190924002237

Medical Identifiers

Medical identifiers for Mr Keith Owen Breaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144889320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	207900 (Louisiana)	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. Mr Keith Owen Breaux allows following entities to bill medicare on his behalf.

Entity Name	Northern Louisiana Emergency Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036

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. Mr Keith Owen Breaux 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
Mr Keith Owen Breaux, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mr Keith Owen Breaux, NP 401 E Vaughn Ave, Ruston, LA 71270-5950 Ph: (318) 254-2100

Reviews and Comments

Nurse Practitioner Nurses in Ruston, LA

Miss Brandi Elizabeth Bordelon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 192 Bastille Ln Ste 200, Ruston, LA 71270 Phone: 318-232-1500
Kristina D Barber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Northpointe Ln Ste 102, Ruston, LA 71270 Phone: 318-255-3762 Fax: 318-255-2866
Alexis Oliver Frasier, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044
Mr. Robert Holland Roy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 730 Celebrity Drive, American Stat Care Center, Ruston, LA 71270 Phone: 318-255-2100 Fax: 318-255-2040
Kambri Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Frazier Rd, Ruston, LA 71270 Phone: 318-202-8340
Jessica Stewart, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Vienna St, Ruston, LA 71270 Phone: 318-224-3044 Fax: 318-232-2978
Erin Lancaster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-251-6116

Mr Keith Owen Breaux, NP - Medicare Nurse Practitioner in Ruston, LA