Breena Rae Brncich, OTD, OTR/L is a
Occupational Therapist - Pediatrics based in Diamond, Illinois. Breena Rae Brncich is licensed to practice in Illinois (license number 056.016146) and her current practice location is
3002 E Division St, Diamond, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 390-5366.
NPI number for Breena Rae Brncich is 1003647074 and her current mailing address is 27425 S Will Rd, Wilmington, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003647074.
Healthcare Provider's Profile
Full Name | Breena Rae Brncich |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 3002 E Division St, Diamond, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003647074
- Provider Enumeration Date: 08/12/2024
- Last Update Date: 08/12/2024
Medical Identifiers
Medical identifiers for Breena Rae Brncich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003647074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 056.016146 (Illinois) | 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. Breena Rae Brncich 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 |
Breena Rae Brncich, OTD, OTR/L 27425 S Will Rd, Wilmington, IL 60481-8352 Ph: (815) 693-9612 | Breena Rae Brncich, OTD, OTR/L 3002 E Division St, Diamond, IL 60416-9486 Ph: (815) 390-5366 |
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