Mrs Kelli Charlene Brezovic, PA-C - Physician Assistant in Suffolk, VA

Mrs Kelli Charlene Brezovic, PA-C is a Physician Assistant - Medical based in Suffolk, Virginia. Mrs Kelli Charlene Brezovic is licensed to practice in Virginia (license number 0110002465) and her current practice location is 2470 Pruden Blvd, Suffolk, Virginia. She can be reached at her office (for appointments etc.) via phone at (757) 539-1503.

NPI number for Mrs Kelli Charlene Brezovic is 1861722852 and her current mailing address is 2470 Pruden Blvd, Suffolk, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861722852.

Contact Information

Mrs Kelli Charlene Brezovic, PA-C
2470 Pruden Blvd,
Suffolk, VA 23434-4206
(757) 539-1503
(757) 539-0107

Map and Direction




Provider's Profile

Full NameMrs Kelli Charlene Brezovic
GenderFemale
SpecialityPhysician Assistant - Medical
Location2470 Pruden Blvd, Suffolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861722852
  • Provider Enumeration Date: 01/13/2010
  • Last Update Date: 01/13/2010

Medical Identifiers

Medical identifiers for Mrs Kelli Charlene Brezovic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861722852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110002465 (Virginia)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. Mrs Kelli Charlene Brezovic 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
Mrs Kelli Charlene Brezovic, PA-C
2470 Pruden Blvd,
Suffolk, VA 23434-4206

Ph: (757) 539-1503
Mrs Kelli Charlene Brezovic, PA-C
2470 Pruden Blvd,
Suffolk, VA 23434-4206

Ph: (757) 539-1503

Reviews and Comments


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