Daniel Patrick Breen, PA-C
Individual provider Active NPI Medical Physician Assistant · Ware, MA
NPI 1457413783 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457413783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2140 (MA)
- Practice address
- 407 Belchertown Rd
Ware, MA 01082-9420 - Phone
- (413) 552-8052
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20070115000168 | MA | Practitioner - Physician Assistant | 4880694959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2140 | MA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2140 | MA | Yes |
Addresses
Primary practice location
407 Belchertown Rd
Ware, MA 01082-9420
Mailing address
407 Belchertown Rd
Ware, MA 01082-9420
Phone (413) 552-8052
Other providers in Ware, MA
- Nicholle Blaine
- Gary Norman Blanchard
- Laurie Borden
- Joann Denise Bousquet
- Erin Jo Braden
- Ashley Brooks
- Lori Brown
- Stacia L Brown
- Sarah Buckner
- Phung Ngoc Bui
All providers in Ware, MA · Medical Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.