| Dr Jane Bradlaw, DO | |
|
2000 Roosevelt Rd, Department Of Emergency Medicine, Valparaiso, IN 46383-2800 | |
| (219) 477-5242 | |
| (219) 477-4859 |
| Full Name | Dr Jane Bradlaw |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 2000 Roosevelt Rd, Valparaiso, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497911697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A18845 (California) | Primary |
| 207P00000X | Emergency Medicine | 02003905B (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palomar Health Downtown Campus | Escondido, CA | Hospital |
| Lompoc Valley Medical Center | Lompoc, CA | Hospital |
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Pomerado Hospital | Poway, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Ynez River Physicians Pc | 7911241229 | 17 |
| Palomar Emergency Physicians, Inc | 9830593730 | 67 |
| Entity Name | Santa Ynez River Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
| Entity Name | Telemedicine365, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912525817 PECOS PAC ID: 0648683920 Enrollment ID: O20210105001789 |
| Entity Name | Palomar Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124698139 PECOS PAC ID: 9830593730 Enrollment ID: O20210813000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jane Bradlaw, DO Po Box 6755, San Diego, CA 92166-0755 Ph: () - | Dr Jane Bradlaw, DO 2000 Roosevelt Rd, Department Of Emergency Medicine, Valparaiso, IN 46383-2800 Ph: (219) 477-5242 |
Shirley Sheth, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Saint Mary Rd, Valparaiso, IN 46383 Phone: 817-657-8677 | |
Dr. David Cummins, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 | |
Dr. Robert L Brunk Ii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 802 Laporte Ave, Suite 102, Valparaiso, IN 46383 Phone: 219-477-5242 Fax: 219-477-4859 | |
Dr. Michael A Woods, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd, Valparaiso, IN 46383 Phone: 219-477-5242 Fax: 219-477-4859 | |
Bruce Moberley, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 475 Scarborough Rd, Valparaiso, IN 46385 Phone: 219-477-1737 Fax: 219-477-1737 | |
Dr. Rikin D Shah, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 |