Brooke Erin Breitenbach, PA-C
Individual provider Active NPI Physician Assistant · Hermitage, PA
NPI 1063661742 · NPPES record last updated Oct 12, 2016
Key facts
- NPI
- 1063661742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA051710 (PA)
- Practice address
- 2501 Shenango Valley Fwy
Suite 1
Hermitage, PA 16148-2536 - Phone
- (724) 983-1820
- Fax
- (724) 983-1822
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lynn a. Colaiacovo, M.D., P.C.
Practice addresses (Care Compare)
2501 Shenango Valley Fwy
Suite 1
Hermitage, PA 16148-2536
Phone 72498318206
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.83 of 100
- Quality
- 82.74
- Promoting interoperability
- 51
- Improvement activities
- 40
- Cost
- 84.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090626000338 | PA | Practitioner - Physician Assistant | 4385795699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051710 | PA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051710 | PA | Yes |
Addresses
Primary practice location
2501 Shenango Valley Fwy
Suite 1
Hermitage, PA 16148-2536
Mailing address
2501 Shenango Valley Fwy
Suite 1
Hermitage, PA 16148-2536
Phone (724) 983-1820
Other names
- Miss Brooke Erin Penwell
Other providers in Hermitage, PA
- Jerome H Bonier
- Debra Bornes
- Gina Bosworth
- Sierah Bowman
- Judith Laura Bowser
- Nicholas J Brennan
- Alexie R Brewster
- Brian D Shannon MD Advanced Spine and Orthopaedics LLC
- Brian J Leskovac
- Brian Szabo,DPM,PC
All providers in Hermitage, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.