Austin M Brett, PA
Individual provider Active NPI Medical Physician Assistant · VA Beach, VA
NPI 1659736775 · NPPES record last updated Dec 16, 2015
Key facts
- NPI
- 1659736775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 4092 Foxwood Dr
Ste 101
VA Beach, VA 23462-5225 - Phone
- (757) 686-3525
- Fax
- (757) 686-0541
- NPI assigned
- Dec 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians of Tidewater
Practice addresses (Care Compare)
2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.47 of 100
- Quality
- 85.24
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, CA
- 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 |
|---|---|---|---|---|
| I20160328001691 | VA | Practitioner - Physician Assistant | 2860799319 | Reassigns benefits to 1 organization |
| I20210820002882 | CA | Practitioner - Physician Assistant | 2860799319 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59591 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Carneiro Wound Medicine Corp | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
4092 Foxwood Dr
Ste 101
VA Beach, VA 23462-5225
Mailing address
PO Box 7549
Portsmouth, VA 23707-0549
Phone (757) 686-3525
Other providers in VA Beach, VA
- Beyond Blessed Home Healthcare LLC
- Anjali Kiran Bhateja
- Lauren Marie Bogard
- Camille Lynn Boyd
- Boykins & Brown Transportation LLC
- Alfred Bridges
- Myesha Aliesha Brown
- Ronald Bayard Brown
- Lauren Bryant
- Abby Lynn Buchman
All providers in VA Beach, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2015. 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.