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Chelsea Marie Brekke

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1528 Eureka Rd, Roseville, CA 95661-3047

PECOS Enrollment

This provider is enrolled in PECOS as CHELSEA BREKKE.

Based on the most recent information from CMS, provider Chelsea Marie Brekke is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003431305
Provider Type
Individual
Full Name
Brekke, Chelsea Marie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/11/2020
Last Updated
6/11/2020

Contact Information

Practice Location

1528 Eureka Rd, Roseville, CA 95661-3047

(916) 772-5325

Unlisted Fax

Mailing Location

4485 Blackbird Dr, Folsom, CA 95630-8693

(619) 987-1648

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA58187 California

Chelsea Marie Brekke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vennik, Anthony T

Gorospe, Mary Grace F

Suliman, Geraldine Ann

Snarr, Matthew

Peres, Steven E

O'Brien, Grace

Ledbetter, Logan

Bains, Roseanna Pauli

Katches, Talitha

Blecher, Marcia