| Anisha Ashwin Amin, MD | |
|
1141 S Indiana Ave, Crown Point, IN 46307-7205 | |
| (219) 662-0700 | |
| (219) 662-0973 |
| Full Name | Anisha Ashwin Amin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1141 S Indiana Ave, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114978798 | NPI | - | NPPES |
| 000000391410 | Other | BCBS | |
| 2647149 | Medicaid | OH | |
| 000000721901 | Other | IN | ANTHEM TRADITIONAL |
| 200333720 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01054193A (Indiana) | Primary |
| 208000000X | Pediatrics | 35077875 (Ohio) | Secondary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Anisha Ashwin Amin, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Anisha Ashwin Amin, MD 1141 S Indiana Ave, Crown Point, IN 46307-7205 Ph: (219) 662-0700 |
Dr. Lisa Camille Gold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973 | |
Destiny Harrell-washington, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
Dr. Melanie Carol Harris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11161 Randolph St, Crown Point, IN 46307 Phone: 219-662-9424 Fax: 219-662-7465 | |
Darlene Sekerez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Po Box 903, Crown Point, IN 46308 Phone: 219-746-1818 | |
Silvia Beatriz Vicente, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 S Indiana Ave, Crown Point, IN 46307 Phone: 219-662-0700 Fax: 219-662-0973 | |
Amberly Brewer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 S Court St, Suite 101, Crown Point, IN 46307 Phone: 219-757-6495 Fax: 219-757-6481 |