Susan R Breeden, FNP-C in Kingsport, TN - Medicare Nurse Practitioner

Susan R Breeden, FNP-C is a medicare enrolled "Nurse Practitioner" in Kingsport, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Champion Physical Therapy Llc Halls, State Of Franklin Healthcare Associates, Pllc and her current practice location is 1905 American Way, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 230-8200.

Susan R Breeden is licensed to practice in Tennessee (license number 18352) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821412925.

Contact Information

	Susan R Breeden, FNP-C
	1905 American Way, Kingsport, TN 37660
	(423) 230-8200
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan R Breeden
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1905 American Way, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan R Breeden attended and graduated from Lincoln Memorial University Medical Department in 2013

NPI Data:

NPI Number: 1821412925
Provider Enumeration Date: 02/10/2014
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8628201308
Enrollment ID: I20140503000034

Medical Identifiers

Medical identifiers for Susan R Breeden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821412925	NPI	-	NPPES
Q005476	Medicaid	TN
6010348	Other	TN	BCBST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	18352 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Champion Physical Therapy Llc Halls	1355416306	228
State Of Franklin Healthcare Associates, Pllc	2466346291	247

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. Susan R Breeden allows following entities to bill medicare on her behalf.

Entity Name	State Of Franklin Healthcare Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063459410 PECOS PAC ID: 2466346291 Enrollment ID: O20040211001101

Entity Name	Takoma Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699819003 PECOS PAC ID: 8729189295 Enrollment ID: O20070727000394

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. Susan R Breeden 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
Susan R Breeden, FNP-C 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111	Susan R Breeden, FNP-C 1905 American Way, Kingsport, TN 37660 Ph: (423) 230-8200

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Susan R Breeden, FNP-C - Medicare Nurse Practitioner in Kingsport, TN