Dr Stacie Braswell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in East Chicago, Indiana. Her current practice location is
1313 W Chicago Ave, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 398-9685.
Dr Stacie Braswell is licensed to practice in Indiana (license number 01073089A) 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 1851629703.
Physician's Profile
| Full Name | Dr Stacie Braswell |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1313 W Chicago Ave, East Chicago, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851629703
- Provider Enumeration Date: 12/03/2009
- Last Update Date: 02/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 5496985871
- Enrollment ID: I20160404000752
Medical Identifiers
Medical identifiers for Dr Stacie Braswell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851629703 | NPI | - | NPPES |
| 201194330 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 01073089A (Indiana) | 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 Stacie Braswell allows following entities to bill medicare on her behalf.
| Entity Name | Dhp Of Piedmont Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316202609
PECOS PAC ID: 9133378763
Enrollment ID: O20120925000798 |
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| Entity Name | Dhp Of Piedmont Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316202609
PECOS PAC ID: 9133378763
Enrollment ID: O20201014001431 |
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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 Stacie Braswell 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 |
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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 |
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