Breanna Rochelle Edenborough, PT in Shawnee, OK - Medicare Physical Therapy Provider

Breanna Rochelle Edenborough, PT is a medicare enrolled "Physical Therapist" provider in Shawnee, Oklahoma. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Shawnee Medical Center Clinic, Inc., Saints Medical Group, Llc and her current practice location is 4651 N Harrison St, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 214-1524.

Breanna Rochelle Edenborough is licensed to practice in Oklahoma (license number 5327) 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 1174262646.

Contact Information

	Breanna Rochelle Edenborough, PT
	4651 N Harrison St, Shawnee, OK 74804-1440
	(405) 214-1524
	(405) 395-5653

Map and Direction

Healthcare Provider's Profile

Full Name	Breanna Rochelle Edenborough
Gender	Female
Speciality	Physical Therapy
Experience	7 Years
Location	4651 N Harrison St, Shawnee, Oklahoma
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:

Breanna Rochelle Edenborough graduated from medical school in 2017

NPI Data:

NPI Number: 1174262646
Provider Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4587042064
Enrollment ID: I20220617000016

Medical Identifiers

Medical identifiers for Breanna Rochelle Edenborough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174262646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5327 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shawnee Medical Center Clinic, Inc.	3870405434	76
Saints Medical Group, Llc	7012914898	358

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. Breanna Rochelle Edenborough allows following entities to bill medicare on her behalf.

Provider Name	Shawnee Medical Center Clinic, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239

Provider Name	Saints Medical Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189

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. Breanna Rochelle Edenborough 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
Breanna Rochelle Edenborough, PT 4651 N Harrison St, Shawnee, OK 74804-1440 Ph: (405) 214-1524	Breanna Rochelle Edenborough, PT 4651 N Harrison St, Shawnee, OK 74804-1440 Ph: (405) 214-1524

Reviews and Comments

Physical Therapist in Shawnee, OK

Mr. Joe Kent Whitt, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 N Beard St, Shawnee, OK 74804 Phone: 405-990-5961 Fax: 405-214-6299
Laura Rachal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300
Mr. Scott K. Howard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4901 N Kickapoo Ave Ste 1556, Shawnee, OK 74804 Phone: 405-214-9808 Fax: 405-214-9389
Jennifer Leigh James, B.S., P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804 Phone: 405-609-3675 Fax: 800-506-3795
Shakira Judeh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1712 Hunters Ridge Dr, Shawnee, OK 74804 Phone: 405-275-1668 Fax: 405-275-1668
Caitlyn Horn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300 Fax: 405-214-0301

Breanna Rochelle Edenborough, PT - Medicare Physical Therapist in Shawnee, OK