Individual provider Active NPI

Brittanie Lee Eggan, P.A.

  • Physician Assistant
  • Prince Frederick, MD
National Provider Identifier
1679859250
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009246 Issued in MD
Practice address
985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone
(410) 535-2005
Fax
(410) 535-4850
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003316 OH
Physician Assistant 363A00000X 54397 CA
Physician Assistant 363A00000X PA.0008320 CO
Physician Assistant 363A00000X 031178 NY
Physician Assistant 363A00000X C0009246 MD Primary

Addresses

Primary practice location

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492

Mailing address

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Other practice location 1

7550 43rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181

Other identifiers 3

IdentifierTypeStateIssuer
0067803MedicaidOH
010866700MedicaidFL
54397OtherCALIC

Other names 1

  • Brittanie Lee Sather Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171006003028 CA Practitioner - Physician Assistant 3779740006 Reassigns benefits to 1 organization
I20240328000777 MD Practitioner - Physician Assistant 3779740006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 204
Dunkirk, MD 20754-2712
Phone (410) 535-2005

14090 HG Trueman Rd
Suite 2500
Solomons, MD 20688-3151
Phone (410) 535-2005

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
85.49
Promoting interoperability
99
Improvement activities
40
Cost
75.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
031178NYMDPhysical Therapist
54397CAMDPhysical Therapy Assistant
PA.0008320COMDPhysician Assistant
C0009246MDMDPhysician Assistant
50.003316OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego Inc CurrentSince Sep 11, 2017 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Sep 11, 2017 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients

Locations

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Interoperability endpoints

  • Direct secure messaging: beggan@calvertinternalmedicine.medentdirect.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1679859250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7550 43rd St N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813601",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "fax_number": "727-541-7984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGAN",
        "first_name": "BRITTANIE",
        "middle_name": "LEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003316",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54397",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008320",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031178",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067803",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010866700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "54397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANIE",
            "last_name": "SATHER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.