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Briana Mary Degraaf

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1820 State Route 33 Ste 4b, Neptune, NJ 07753-4860

PECOS Enrollment

This provider is enrolled in PECOS as BRIANA DEGRAAF.

Based on the most recent information from CMS, provider Briana Mary Degraaf 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 6 days ago.

Profile Details

Provider ID
1538793492
Provider Type
Individual
Full Name
Degraaf, Briana Mary
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/28/2020
Last Updated
10/19/2020

Contact Information

Practice Location

1820 State Route 33 Ste 4b, Neptune, NJ 07753-4860

(732) 776-8500

Unlisted Fax

Mailing Location

1820 State Route 33 Ste 4b, Neptune, NJ 07753-4860

(732) 776-8500

Unlisted Fax

Provider Taxonomies

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

Briana Mary Degraaf

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pillarella, Nicholas Rudy

Olsen, Mary Jane

Smith, Alyssa Ruth

Tulino, Joseph

Silva, Abigail M

Preston, Amanda Kay

Rulka, Kyle

Groh, Grace

Schneider, Krista Kelly

Lopes, Kristina M