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Brendan Ciampa Clancy

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

818 Congress St, Portland, ME 04102-3112

PECOS Enrollment

This provider is enrolled in PECOS as BRENDAN CLANCY.

Based on the most recent information from CMS, provider Brendan Ciampa Clancy 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 yesterday at 2:35 PM.

Profile Details

Provider ID
1194134783
Provider Type
Individual
Full Name
Clancy, Brendan Ciampa
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
8/7/2014
Last Updated
1/15/2026

Contact Information

Practice Location

818 Congress St, Portland, ME 04102-3112

(207) 773-8161

(207) 773-1489

Mailing Location

818 Congress St, Portland, ME 04102-3112

(207) 773-8161

(207) 773-1489

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA2842 Maine
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 017848 New York
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-08302 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 017848	Description Other	Issuer NYS PHYSICIAN ASSISTANT LICENSE New York

Brendan Ciampa Clancy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kaletina, Anna

Bradley, Kathleen R

Blessington, Steven C.

Langburd, Diana Florence

Beaver, Eric A

Denault, Elyssa

Houlihan, Lindsay Rose

Szakacs, Sophia

Sanstrom, Abigayle Clara

Winkler, Emma Jane