DREW BREEDLOVE
NPI 1629823323
Student in an Organized Health Care Education/Training Program in Tahlequah, OK
About Drew Breedlove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DREW BREEDLOVE (NPI 1629823323) is an individual student in an organized health care education/training program in Tahlequah, Oklahoma and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Drew Breedlove is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Drew Breedlove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wagoner, OK 74467
- Reassigned Medicare billing, Oklahoma enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAHLEQUAH, OK 74464
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Drew Breedlove's NPI number?
The NPI number for Drew Breedlove is 1629823323. It was assigned to this individual provider in the NPPES registry on April 17, 2024.
Where is Drew Breedlove located?
Drew Breedlove practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-4000.
What is Drew Breedlove's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Drew Breedlove enrolled in Medicare?
Yes. Drew Breedlove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Drew Breedlove's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Drew Breedlove reassigns Medicare benefits to Mbr Eye LLC (Wagoner, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Drew Breedlove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Drew Breedlove accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Drew Breedlove as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Drew Breedlove was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Drew Breedlove · NPI 1629823323
Student in an Organized Health Care Education/Training Program provider in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since April 17, 2024.
## Identity
- **NPI:** 1629823323 (Entity type: Individual)
- **Enumerated:** April 17, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 N GRAND AVE, Tahlequah, OK 74464-7017
- **Phone:** (918) 444-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mbr Eye LLC (NPI 1881232593, Wagoner, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629823323) · Data from the CMS NPPES public registry.