BREANNE MARIE PHILLIPS PA-C
NPI 1144418054
Physician Assistant - Medical in Middletown, NY

NPI Status: Active since October 05, 2007

Contact Information

111 MALTESE DR
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 342-4774

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Medicare Quality Reporting

About BREANNE PHILLIPS

This page provides the complete NPI Profile along with additional information for Breanne Phillips, a primary care provider established in Middletown, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1144418054 assigned on October 2007. The practitioner's primary taxonomy code is 363AM0700X with license number 028248 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1144418054
Provider Name
BREANNE MARIE PHILLIPS PA-C
Gender
Female
Entity Type
Individual
Location Address
111 MALTESE DR MIDDLETOWN, NY 10940
Location Phone
(845) 342-4774
Mailing Address
111 MALTESE DR MIDDLETOWN, NY 10940
Mailing Phone
(845) 342-4774
Is Sole Proprietor?
No
Enumeration Date
10-05-2007
Last Update Date
09-07-2022
Code Navigator

A primary care provider (PCP) like Breanne Phillips sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
028248
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

MA053102 (PA)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

25MP00228600 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
028248OTHER (01)NYLICENSE

Medicare Participation & PECOS Enrollment Status

Breanne Phillips is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 1-10 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 20 times for 18 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 90 times for 55 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 22 times for 16 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 18 times for 16 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 13 times for 12 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Pneumococcal Vaccination Status for Older Adults 100% 284
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

Reviews for BREANNE MARIE PHILLIPS PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144418054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 8 + 1 + 1 + 6 + 0 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1144418054.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
111 MALTESE DR
MIDDLETOWN, NY 10940
Physical Therapist
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Gastroenterology)
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
111 MALTESE DR
MIDDLETOWN, NY 10940
Obstetrics & Gynecology
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Family Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Endocrinology, Diabetes & Metabolism)
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Gastroenterology)
111 MALTESE DR
MIDDLETOWN, NY 10940
Psychiatry & Neurology (Neurology)
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Rheumatology)
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine
111 MALTESE DR
MIDDLETOWN, NY 10940
Orthopaedic Surgery
111 MALTESE DR
MIDDLETOWN, NY 10940
Internal Medicine (Infectious Disease)
111 MALTESE DR
MIDDLETOWN, NY 10940
Physician Assistant
111 MALTESE DR
MIDDLETOWN, NY 10940
Specialist
111 MALTESE DR
MIDDLETOWN, NY 10940
Physician Assistant
111 MALTESE DR
MIDDLETOWN, NY 10940

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144418054, enumerated as an "individual" on October 05, 2007.

The provider is located at 111 MALTESE DR MIDDLETOWN, NY 10940 and the phone number is (845) 342-4774.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.