Dr Stacey Dianne Sassaman, MD in Philadelphia, PA - Medicare Obstetrics & Gynecology

Dr Stacey Dianne Sassaman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3008.

Dr Stacey Dianne Sassaman is licensed to practice in Pennsylvania (license number MD489471) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902423890.

Contact Information

	Dr Stacey Dianne Sassaman, MD
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-3008
	(215) 707-1387

Map and Direction

Physician's Profile

Full Name	Dr Stacey Dianne Sassaman
Gender	Female
Speciality	Obstetrics & Gynecology
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902423890
Provider Enumeration Date: 06/26/2020
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3678098993
Enrollment ID: I20250421000102

Medical Identifiers

Medical identifiers for Dr Stacey Dianne Sassaman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902423890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MT221915 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	00000000000000000000 (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	MD489471 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Stacey Dianne Sassaman allows following entities to bill medicare on her behalf.

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stacey Dianne Sassaman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Stacey Dianne Sassaman, MD 3500 N Broad St, Philadelphia, PA 19140-4106 Ph: (215) 707-2433	Dr Stacey Dianne Sassaman, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-3008

Reviews and Comments

Obstetrics & Gynecology Doctors in Philadelphia, PA

Jennifer Bracken Imbriale, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St Fl 7, Philadelphia, PA 19140 Phone: 215-707-3187
Jenna Snyder, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 856-803-3694
Dr. Comreen Vargees, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3500 N Broad St, Philadelphia, PA 19140 Phone: 303-842-7009
Dr. Thomas A. Klein, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 Chestnut St, Suite 300, Philadelphia, PA 19107 Phone: 215-955-5000 Fax: 215-923-1089
Abike T James, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035
Mathew N Beshara, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce Street, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035 Fax: 215-349-5228
Bernadette C Wheeler, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 Phone: 215-662-2730 Fax: 215-349-5224

Dr Stacey Dianne Sassaman, MD - Medicare Obstetrics & Gynecology in Philadelphia, PA