Vicki E Breceda, OT in Los Angeles, CA - Medicare Occupational Therapist Provider

Vicki E Breceda, OT is a medicare enrolled "Occupational Therapist - Hand" provider in Los Angeles, California. Her current practice location is 6041 Cadillac Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 857-2000.

Vicki E Breceda is licensed to practice in California (license number 00004126) 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 1659578813.

Contact Information

	Vicki E Breceda, OT
	6041 Cadillac Ave, Los Angeles, CA 90034-1702
	(323) 857-2000
	(626) 405-6768

Map and Direction

Healthcare Provider's Profile

Full Name	Vicki E Breceda
Gender	Female
Speciality	Occupational Therapist - Hand
Location	6041 Cadillac Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659578813
Provider Enumeration Date: 06/29/2007
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 7113055807
Enrollment ID: I20100518000292

Medical Identifiers

Medical identifiers for Vicki E Breceda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659578813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	00004126 (California)	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. Vicki E Breceda allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Vicki E Breceda 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
Vicki E Breceda, OT 393 E Walnut St, 3rd Floor - Phr Systems, Pasadena, CA 91188-0001 Ph: (626) 405-7914	Vicki E Breceda, OT 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2000

Reviews and Comments

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Vicki E Breceda, OT - Medicare Occupational Therapist in Los Angeles, CA