Miss Breanna Kelly West, is a
Student In An Organized Health Care Education/training Program based in Richardson, Texas. Miss Breanna Kelly West is licensed to practice in * (Not Available) (license number ) and her current practice location is
2323 N Central Expy, Richardson, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 454-4533.
NPI number for Miss Breanna Kelly West is 1487422036 and her current mailing address is 2323 N Central Expy, Richardson, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487422036.
Provider's Profile
| Full Name | Miss Breanna Kelly West |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2323 N Central Expy, Richardson, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487422036
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/13/2023
Medical Identifiers
Medical identifiers for Miss Breanna Kelly West such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487422036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Miss Breanna Kelly West 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 Address | Practice Location Address |
|---|
Miss Breanna Kelly West,
2323 N Central Expy,
Richardson, TX 75080-2712
Ph: (214) 454-4533 | Miss Breanna Kelly West,
2323 N Central Expy,
Richardson, TX 75080-2712
Ph: (214) 454-4533 |
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