Breanne M Phillips (NPI# 1144418054, PAC ID# 1456403070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144418054 |
| PAC ID by PECOS | 1456403070 |
| Professional Enrollment ID | I20090713000467 |
| Full Name | Breanne M Phillips |
| Organization Legal Name | LAKE REGION URGENT CARE, PC |
| Address |
103 Spruce St Suite 201 Hawley PA 18428-1149 |
| Phone Number | 5703904545 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779616420 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 Spruce St, Suite 201, Hawley, PA 18428-1149 | 5703904545 | LAKE REGION URGENT CARE, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 3% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LAKE REGION URGENT CARE, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie A Bell | Nurse Practitioner | Lake Region Urgent Care, PC | 103 Spruce St, Suite 201, Hawley, PA 18428-1149 |
| Roman W Matlaga | Internal Medicine | Lake Region Urgent Care, PC | 103 Spruce St, Suite 201, Hawley, PA 18428-1149 |
| Street Address |
103 SPRUCE ST SUITE 201 |
| City | HAWLEY |
| State | PA |
| Zip | 18428-1149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Brown | Physical Therapy | Comprehensive Physical Therapy Inc | 103 Spruce St, Suite 101, Hawley, PA 18428-1149 |
| Susanna Daniels | Occupational Therapy | Comprehensive Physical Therapy Inc | 103 Spruce St, Suite 101, Hawley, PA 18428-1149 |
| Christine Marie Chesna | Physical Therapy | Comprehensive Physical Therapy Inc | 103 Spruce St, Suite 101, Hawley, PA 18428-1149 |
| Valerie A Bell | Nurse Practitioner | Lake Region Urgent Care, PC | 103 Spruce St, Suite 201, Hawley, PA 18428-1149 |
| Roman W Matlaga | Internal Medicine | Lake Region Urgent Care, PC | 103 Spruce St, Suite 201, Hawley, PA 18428-1149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan A Singer | Nurse Practitioner | 2489 Us 6 Greshams Lndg, Suite 7, Hawley, PA 18428 | |
| Susan L Mowatt | Family Practice | The Singer Group, LLC | 2489 Us 6 Greshams Lndg, Suite 7, Hawley, PA 18428 |
| Margaret Mary Lutz | Psychologist, Clinical | 8 Silk Mill Dr, Suite 223, Hawley, PA 18428-1413 | |
| Elizabeth Ciaravino | Psychologist, Clinical | 8 Silk Mill Dr, Suite 223, Hawley, PA 18428-1413 | |
| Darlene Nalesnik | Psychologist, Clinical | 8 Silk Mill Dr, Suite 223, Hawley, PA 18428-1413 | |
| Donald O Broughton | Chiropractic | 844 Church St, Hawley, PA 18428-1438 | |
| Stephen A Pokowicz | Chiropractic | 846 Church St, Hawley, PA 18428-1438 | |
| Michael R Neal | Optometry | Family Vision Care Associates, PC | 74 Welwood Ave, Suite 102, Hawley, PA 18428-1577 |
| Amy Marie Neal | Optometry | Family Vision Care Associates, PC | 74 Welwood Ave, Suite 102, Hawley, PA 18428-1577 |
| Rae Marie J Venarucci | Chiropractic | 74 Welwood Ave, Suite 101, Hawley, PA 18428-1577 | |
| Find all physicians in zip 18428 | |||
| City | HAWLEY |
| Zip Code | 18428 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HAWLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Breanne M Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.