| Colton C Prudnick, DO | |
|
4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 | |
| (517) 355-4205 | |
| (517) 364-8119 |
| Full Name | Colton C Prudnick |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 4660 S Hagadorn Rd Ste 210, East Lansing, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619380334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 5101025083 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare | Owosso, MI | Hospital |
| Oaklawn Hospital | Marshall, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Healthcare, Pllc | 6002045895 | 54 |
| Memorial Hospital | 8527976497 | 191 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861443269 PECOS PAC ID: 3870405954 Enrollment ID: O20031105000741 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
| Entity Name | Mymichigan Medical Center Alma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568914422 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975 |
| Entity Name | Mclaren Central Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Entity Name | Compass Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932533692 PECOS PAC ID: 6002045895 Enrollment ID: O20140127000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Colton C Prudnick, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 355-4205 | Colton C Prudnick, DO 4660 S Hagadorn Rd Ste 210, East Lansing, MI 48823-5353 Ph: (517) 355-4205 |
Peter Liu, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1625 Ramblewood Dr Ste 1, East Lansing, MI 48823 Phone: 517-324-3700 Fax: 517-324-4588 | |
Dr. Leonard J Zuckerman, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1625 Ramblewood Dr, East Lansing, MI 48823 Phone: 517-324-3700 Fax: 517-324-4589 | |
Dr. William Britt Zimmerman, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823 Phone: 517-355-4205 Fax: 517-355-4202 | |
Dr. David Don Wartinger, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 2900 Hannah Blvd, Ste 215, East Lansing, MI 48823 Phone: 517-364-8118 Fax: 517-364-8119 | |
Dr. Rafid H Yousif, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1625 Ramblewood Dr, East Lansing, MI 48823 Phone: 517-324-3700 Fax: 517-324-4589 | |
Dr. Damon Davis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2900 Hannah Blvd, Suite 104, East Lansing, MI 48823 Phone: 517-363-8118 Fax: 517-364-8119 | |
Arya Khatiwoda, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2900 Hannah Blvd Ste 104, East Lansing, MI 48823 Phone: 517-364-8118 Fax: 517-364-8119 |