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IRINE BRESLAW PA
NPI 1073814984
Physician Assistant in Baltimore, MD

Active since November 09, 2010PECOS Enrolled
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220(410) 933-5678(410) 933-1823 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irine Breslaw Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRINE BRESLAW PA (NPI 1073814984) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C04371) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073814984
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIRINE BRESLAWCredential: PA
Location Address9601 PULASKI PARK DR, SUITE 416Baltimore, MD 21220-1409
Mailing Address9601 Pulaski Park Dr, Suite 416Baltimore, MD 21220-1409 · (410) 933-5678 · Fax (410) 933-1823
Phone(410) 933-5678
Fax(410) 933-1823
Sole ProprietorNo
Enumeration DateNovember 9, 2010
Last NPPES UpdateJuly 7, 2015
✔ NPI 1073814984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C04371
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9601 PULASKI PARK DR, Baltimore, MD 21220
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Other Names 1

Former Name (1)Irine Vershova Pa

Other Identifiers 2

Medicare PINK858MD
Medicare PIN197984Y3PMD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irine Breslaw Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BALDEO RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665
DR. EFEM E IMOKE M.D.
Surgery
9601 PULASKI PARK DR, SUITE 416
BALTIMORE, MD 21220
Baltimore County (410) 933-5678
MS-HC LLC
Chiropractor
9601 PULASKI PARK DR, SUITE 416
BALTIMORE, MD 21220
Baltimore County (410) 933-5678
OMOLEWA COLE RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665
PATRICIA PAPPAS RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665
KATHLEEN BRIGGS RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665
HEIDI TRIPP RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665
MARYSE OBEISSANT RN
Registered Nurse
9601 PULASKI PARK DR, SUITE 417
BALTIMORE, MD 21220
Baltimore County (443) 725-2665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irine Breslaw's NPI number?

The NPI number for Irine Breslaw is 1073814984. It was assigned to this individual provider in the NPPES registry on November 9, 2010. The provider is also known as Irine Vershova PA.

Where is Irine Breslaw located?

Irine Breslaw practices at 9601 Pulaski Park Dr Suite 416, Baltimore, MD 21220. The listed phone number is (410) 933-5678.

What is Irine Breslaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Irine Breslaw enrolled in Medicare?

Yes. Irine Breslaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irine Breslaw was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.