Brooke Erin Breitenbach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051710 Issued in 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

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Brooke Erin Penwell Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.Group PAC ID 7416906888, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.83 of 100Reported as group

Quality

82.74

Promoting interoperability

51

Improvement activities

40

Cost

84.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lynn a. Colaiacovo, M.D., P.C.

  dba Lynn A. Colaiacovo, M.D.

  • Specialist
  • Hermitage, PA
  • NPI 1174541676
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1063661742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "SUITE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-983-1820",
            "fax_number": "724-983-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "SUITE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-983-1820",
            "fax_number": "724-983-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENBACH",
        "first_name": "BROOKE",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "PENWELL",
            "middle_name": "ERIN",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerome H Bonier, DO
• Debra Bornes
• Gina Bosworth, OTR/L
• Sierah Bowman
• Judith Laura Bowser, LPN
• Nicholas J Brennan, DC
• Alexie R Brewster
• Brian D Shannon MD Advanced Spine and Orthopaedics LLC
• Brian J Leskovac
• Brian Szabo,DPM,PC

• Physician Assistant in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.