MS. BRETTE BEAN (PA-C) – Dermatology Physician, NPI 1578395992
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. BRETTE BEAN (PA-C)
6776 54th Ave N
Saint Petersburg, FL 337091405
Phone: (727) 935-0510
Fax: (727) 935-0511
Type: Location
1260 W Bay Dr Ste C
Largo, FL 337702285
Phone: (717) 935-0500
Fax: (727) 935-0501
Type: Location
6600 University Pkwy Ste 302
Sarasota, FL 342409048
Phone: (941) 800-5001
Fax: (941) 800-5012
Type: Location
140 S Beach St Ste 202
Daytona Beach, FL 321144409
Phone: (888) 506-8838
Fax: (888) 506-8837
Type: Location
2975 67TH WAY N
SAINT PETERSBURG, FL 337103136
Phone:
Type: Mailing
140 S BEACH ST STE 202
DAYTONA BEACH, FL 321144409
Phone: (888) 506-8838
Fax: (888) 506-8837
Type: Location
PO BOX 23329
NEW YORK, NY 100873329
Phone: (410) 873-8500
Fax: (410) 883-0876
Type: Mailing
3950 3RD ST N STE A
SAINT PETERSBURG, FL 337036123
Phone: (727) 821-0612
Fax: (727) 822-5507
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240912004533 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | MD | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | FL |
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