| Dr Timothy Michael Peklo, MD | |
|
720 N Lincoln St, Greensburg, IN 47240-1327 | |
| (812) 663-4331 | |
| Not Available |
| Full Name | Dr Timothy Michael Peklo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 720 N Lincoln St, Greensburg, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811985229 | NPI | - | NPPES |
| 200224010 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01048993A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 01048993 (Indiana) | Primary |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Indiana Emergency Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598068017 PECOS PAC ID: 2365622578 Enrollment ID: O20110204000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Michael Peklo, MD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-9515 | Dr Timothy Michael Peklo, MD 720 N Lincoln St, Greensburg, IN 47240-1327 Ph: (812) 663-4331 |
Mr. Kederick A Meyers, PAC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 N Michigan Avenue, Greensburg, IN 47240 Phone: 812-663-7277 Fax: 812-662-7307 | |
Brianna Nicole Daeger, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 N Michigan Ave, Greensburg, IN 47240 Phone: 812-222-3627 | |
Dr. Scott Tyrus Washburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 955 N Michigan Ave, Greensburg, IN 47240 Phone: 812-222-3627 | |
Michael S Willhite, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 Barachel Ln, Greensburg, IN 47240 Phone: 812-222-0051 Fax: 812-222-0055 | |
Mrs. Jennifer L. Fletcher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 N Michigan Ave, Greensburg, IN 47240 Phone: 812-663-7277 Fax: 812-662-7307 | |
Mrs. Mary Rose Mccullough, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 N Michigan Ave, Greensburg, IN 47240 Phone: 812-663-7277 Fax: 812-662-7307 | |
Jami Beth Rayles, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 718 N Lincoln St, Greensburg, IN 47240 Phone: 812-662-0588 Fax: 812-663-5932 |