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This data was extracted on 1/26/2026.

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License NumberC0003358 Tracey A. Brebner
License TypePhysician Assistant
License StatusActive  
License Issued09/13/2006  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? No

Maryland Hospital Privilege Information (as reported by licensee)

Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States (as reported by licensee)

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 Physician Assistant Notification of Collaboration Agreements

Agreement ID: 5481 |  Submit Date: 06/04/2025
Practice Setting: Other - Telehealth Practice Setting
Facility: KMG Medical Group
Address: 82 Nassau St. 6th Floor
           New York, NY 10028
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties

H0093060  Samuel David Fam   Status: Approved  |  Approved Date:  07/13/2023  | Agreement No: 32574
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer

All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
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