| Dr Stacie Braswell, MD | |
|
1313 W Chicago Ave, East Chicago, IN 46312-3316 | |
| (219) 398-9685 | |
| (219) 398-9695 |
| Full Name | Dr Stacie Braswell |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1313 W Chicago Ave, East Chicago, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851629703 | NPI | - | NPPES |
| 201194330 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01073089A (Indiana) | Primary |
| Entity Name | Dhp Of Piedmont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316202609 PECOS PAC ID: 9133378763 Enrollment ID: O20120925000798 |
| Entity Name | Dhp Of Piedmont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316202609 PECOS PAC ID: 9133378763 Enrollment ID: O20201014001431 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacie Braswell, MD 951 Transport Dr, Valparaiso, IN 46383-8434 Ph: (219) 477-6082 | Dr Stacie Braswell, MD 1313 W Chicago Ave, East Chicago, IN 46312-3316 Ph: (219) 398-9685 |
Dr. Jun Dong Kim, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-7016 Fax: 219-397-6904 | |
Dr. Janos Antal Uzonyi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 W Chicago Ave Ste F, East Chicago, IN 46312 Phone: 219-392-1700 |