| Traesa A Brown, MD | |
|
400 Corporate Center Dr, Vandalia, OH 45377-1164 | |
| (937) 454-5296 | |
| Not Available |
| Full Name | Traesa A Brown |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 400 Corporate Center Dr, Vandalia, Ohio |
| 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 |
|---|---|---|---|
| 1053407973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32486 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 35148567 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Group | 2860386349 | 28 |
| Entity Name | Providence Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Traesa A Brown, MD 2912 Springboro W Ste 201, Moraine, OH 45439-1674 Ph: (937) 297-8999 | Traesa A Brown, MD 400 Corporate Center Dr, Vandalia, OH 45377-1164 Ph: (937) 454-5296 |
Suzanne L. Bell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E National Rd Ste 100, Vandalia, OH 45377 Phone: 937-531-0113 Fax: 937-531-0123 | |
Bridget Frances Goldenstein, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Aviator Ct Ste 100, Vandalia, OH 45377 Phone: 937-208-7776 | |
Robert J Mcconnell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 Kenbrook Dr, Vandalia, OH 45377 Phone: 937-890-1725 Fax: 937-890-1725 | |
Laine D Sommers, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 Corporate Center Dr Unit B, Vandalia, OH 45377 Phone: 937-684-4220 Fax: 937-684-4320 | |
Dr. Rick W Gebhart, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 505 Corporate Center Dr, Vandalia, OH 45377 Phone: 937-619-0050 Fax: 937-619-0069 | |
David E. Cox, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E National Rd Ste 100, Vandalia, OH 45377 Phone: 937-531-0113 Fax: 937-531-0123 |