Breelyn Jan Van Leeuwen, PA-C, MSPA - Physician Assistant in Provo, UT

Breelyn Jan Van Leeuwen, PA-C, MSPA is a Physician Assistant based in Provo, Utah. Breelyn Jan Van Leeuwen is licensed to practice in Utah (license number 8808600-1206) and her current practice location is 1055 N 500 W Ste 211, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 357-7327.

NPI number for Breelyn Jan Van Leeuwen is 1043640071 and her current mailing address is 1055 N 500 W, Provo, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043640071.

Contact Information

Breelyn Jan Van Leeuwen, PA-C, MSPA
1055 N 500 W Ste 211,
Provo, UT 84604-3305
(801) 357-7327
(801) 375-8860



Provider's Profile

Full NameBreelyn Jan Van Leeuwen
GenderFemale
SpecialityPhysician Assistant
Location1055 N 500 W Ste 211, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043640071
  • Provider Enumeration Date: 11/12/2013
  • Last Update Date: 01/09/2014

Medical Identifiers

Medical identifiers for Breelyn Jan Van Leeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043640071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8808600-1206 (Utah)Primary

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. Breelyn Jan Van Leeuwen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breelyn Jan Van Leeuwen, PA-C, MSPA
1055 N 500 W,
Provo, UT 84604-3305

Ph: (801) 812-4673
Breelyn Jan Van Leeuwen, PA-C, MSPA
1055 N 500 W Ste 211,
Provo, UT 84604-3305

Ph: (801) 357-7327

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› Verified 1 days ago


Physician Assistant Nurses in Provo, UT

Kelly Marie Daly-wolfe, PA-C, RDN
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 589 S State St, Provo, UT 84606
Phone: 801-429-2000    
John Harold Ball, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 401, Provo, UT 84604
Phone: 801-357-7546    Fax: 801-357-8840
Devin W Christensen, PA-S2
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1360 S 760 W, Provo, UT 84601
Phone: 801-471-7998    
Joan Margaret Butler,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    
Robert Rowe,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 589 S State St, Provo, UT 84606
Phone: 801-429-2000    
Michael Anderson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604
Phone: 801-373-4366    Fax: 801-418-0941
Stacie Glass, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604
Phone: 801-357-0570    

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