296 W. SUNSET AVE STE 15
COEUR D'ALENE, ID 83815-8366 US PECOS Enrolled
Jill Efta Breitbach
Clinical Psychologist
- COEUR D'ALENE, ID
- Phone: (208)-666-0357
- Last Updated 8/7/2023
Overview
Jill Efta Breitbach is a Clinical Psychologist in the COEUR D'ALENE area. Jill Efta Breitbach primary office location is at 296 W. SUNSET AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1487626529 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 1287 | AL |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Psychologist - Taxonomy Code 103TC0700X | AL | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20230215000641 |
| PECOS Individual PAC ID: | 6002288396 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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