Individual
BREEANA GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-6880
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-6880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0087461
NY
363A00000X
Physician Assistant
8746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011220501
UNIVERA
NY
01
—
000570415001
BLUE CROSS BLUE SHIELD
NY
05
—
01618542
—
NY
01
—
050304000023
FIDELIS
NY
01
—
161480107
INDEPENDENT HEALTH
NY
01
—
P00149815
RAILROAD MEDICARE
NY
Enumeration date
06/30/2006
Last updated
07/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us