Breann Alyssa Allen, PA-C
Individual provider Active NPI Physician Assistant · Ann Arbor, MI
NPI 1730720939 · NPPES record last updated Nov 19, 2019
Key facts
- NPI
- 1730720939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5315213589 (MI)
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (517) 294-8685
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
1801 Briarwood Cir
Ann Arbor, MI 48108-3347
Phone (734) 539-5000
Hospital & facility affiliations
- University of Michigan Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20191220000745 | MI | Practitioner - Physician Assistant | 5496189656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601009696 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current |
Accepting new patients | |
| Regents of the University of Michigan | Physician Assistant | Current |
Accepting new patients |
Locations
1801 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 539-5000
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601009696 | MI | |
| Physician Assistant | 363A00000X | 5315213589 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other providers in Ann Arbor, MI
- All Forms Physical Therapy, PC
- Allegiance Health
- Allen Dumont MD PC
- Allen W. Seel DDS PC
- Braxton Robert Allen
- Brian William Allen Jr.
- Brittany Benson Allen
- Charlla Allen
- Dawn Allen
- Doris J Allen
All providers in Ann Arbor, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2019. 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.