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Brian Duffy

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4641 E Pickard St Ste A, Mount Pleasant, MI 48858-2189

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Duffy 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 12:57 PM.

Profile Details

Provider ID
1902785520
Provider Type
Individual
Full Name
Duffy, Brian

Sole Proprietor
No
Enumeration Date
8/28/2025
Last Updated
8/28/2025

Contact Information

Practice Location

4641 E Pickard St Ste A, Mount Pleasant, MI 48858-2189

(989) 948-4863

Unlisted Fax

Mailing Location

4641 E Pickard St Ste A, Mount Pleasant, MI 48858-2189

(989) 948-4863

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Brian Duffy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wegenke, Brandon M

Ribitch, Kristine Marie

Ordway, Kenneth Christopher

Stone, Lisa K

Johns, David

Persyn, Alexander Zachary

Droste, Jenna

Paget, Gaye Lynn

Kunik, Jenni Kaye

Wohlscheid, Shara Michelle