| Dr Srbislav N Brasovan, MD | |
|
111 W 10th St, Suite 100, Hobart, IN 46342-5990 | |
| (219) 738-2742 | |
| (219) 942-0740 |
| Full Name | Dr Srbislav N Brasovan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 111 W 10th St, Hobart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871655589 | NPI | - | NPPES |
| 000000229829 | Other | IN | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 01022104A (Indiana) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 036103826 (Illinois) | Secondary |
| Entity Name | Vigilance Anesthesiologists & Pain Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013475375 PECOS PAC ID: 4284975541 Enrollment ID: O20190514000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srbislav N Brasovan, MD 7903 E 97th Ave, Crown Point, IN 46307-8599 Ph: (219) 738-2742 | Dr Srbislav N Brasovan, MD 111 W 10th St, Suite 100, Hobart, IN 46342-5990 Ph: (219) 738-2742 |
Lachanda Leann Dunlap-wright, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave Ste 205, Hobart, IN 46342 Phone: 219-942-8620 Fax: 219-942-6356 | |
Douglas C Dedelow, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave, Ste 205, Hobart, IN 46342 Phone: 219-942-8620 Fax: 219-942-6356 |