Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanne Marie Phillips, PA-C

Individual provider Medical Physician Assistant · NPI 1144418054

Breanne Marie Phillips, PA-C is a Physician Assistant in Middletown, New York. Qualified in 2007, 19 years ago. Practices with Wayne Memorial Community Health Centers, a 45-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
19
Licensed in
NJ, NY, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Maltese Dr
Middletown, NY 10940-2141
Phone: (845) 342-4774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 028248 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA053102 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00228600 (NJ)

Record details

NPI number1144418054
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2007
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Wayne Memorial Community Health Centers — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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