Breanna Larae Damron, PA-C - Medicare Physician Assistant in Portsmouth, OH

Breanna Larae Damron, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portsmouth, Ohio. Her current practice location is Envision Physician Services, 1805 27th St, Portsmouth, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 356-5000.

Breanna Larae Damron is licensed to practice in Ohio (license number 50.007373RX) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568077808.

Contact Information

Breanna Larae Damron, PA-C
Envision Physician Services, 1805 27th St,
Portsmouth, OH 45662
(740) 356-5000
Not Available



Provider's Profile

Full NameBreanna Larae Damron
GenderFemale
SpecialityPhysician Assistant - Medical
LocationEnvision Physician Services, Portsmouth, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568077808
  • Provider Enumeration Date: 09/14/2020
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082020094
  • Enrollment ID: I20220201002588

Medical Identifiers

Medical identifiers for Breanna Larae Damron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568077808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 50.007373RX (Ohio)Primary
363A00000XPhysician Assistant TC031 (Kentucky)Secondary
363AM0700XPhysician Assistant - Medical TC031 (Kentucky)Secondary
363AS0400XPhysician Assistant - Surgical TC031 (Kentucky)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Larae Damron is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breanna Larae Damron, PA-C
1404 S Calumet Dr,
Worthington, KY 41183-9614

Ph: (606) 547-5595
Breanna Larae Damron, PA-C
Envision Physician Services, 1805 27th St,
Portsmouth, OH 45662

Ph: (740) 356-5000

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Physician Assistant Nurses in Portsmouth, OH

Jeanna M Hull, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1805 27th St, Portsmouth, OH 45662
Phone: 740-356-8310    
Michael D. Steely, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662
Phone: 740-356-5000    
Andrew Michael Stegman, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St Ste 103a, Portsmouth, OH 45662
Phone: 740-356-6740    Fax: 740-355-9281
Zachary A Harr, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662
Phone: 740-356-1709    Fax: 740-353-3027
Kevin Dillon Macdonald, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1805 27th St, Portsmouth, OH 45662
Phone: 740-356-6891    Fax: 740-354-6774
Mary Elizabeth Williams, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 840 Gallia St, Portsmouth, OH 45662
Phone: 740-353-3236    Fax: 740-353-4803
Shane A Keen, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1735 27th St Ste 102, Portsmouth, OH 45662
Phone: 740-356-8822    Fax: 740-356-0021

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