| Craig Pawlowski, MD | |
|
1201 Michigan Ave, Logansport, IN 46947-1580 | |
| (574) 753-7541 | |
| Not Available |
| Full Name | Craig Pawlowski |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1201 Michigan Ave, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528011152 | NPI | - | NPPES |
| 000000565174 | Other | IN | BLUE CROSS |
| 200818440 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01062105A (Indiana) | Primary |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Pawlowski, MD 1201 Michigan Ave Ste 330, Logansport, IN 46947-1570 Ph: () - | Craig Pawlowski, MD 1201 Michigan Ave, Logansport, IN 46947-1580 Ph: (574) 753-7541 |
Namita Sahgal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 Michigan Ave, Ste 330, Logansport, IN 46947 Phone: 574-753-4151 Fax: 574-722-1560 | |
Zhengyi Wang, Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave Ste 330, Logansport, IN 46947 Phone: 574-753-4151 | |
Nishat Fatima Ally, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Michigan Ave Ste 330, Logansport, IN 46947 Phone: 703-346-3787 |