Timothy Herbert Prahlow, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Michigan City, Indiana. He went to Indiana University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Consultants Inc and his current practice location is
3500 Franciscan Way, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 879-8511.
Timothy Herbert Prahlow is licensed to practice in Indiana (license number 01044539A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538152434.
Physician's Profile
| Full Name | Timothy Herbert Prahlow |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 31 Years |
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| Location | 3500 Franciscan Way, Michigan City, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Herbert Prahlow attended and graduated from Indiana University School Of Medicine in 1993
NPI Data:
- NPI Number: 1538152434
- Provider Enumeration Date: 08/25/2005
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244368421
- Enrollment ID: I20100508000008
Medical Identifiers
Medical identifiers for Timothy Herbert Prahlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538152434 | NPI | - | NPPES |
| 351173213 | Other | IN | SAGAMORE |
| 82428 | Other | IL | BCBS |
| 5229701 | Other | IN | CCN |
| 5535745002 | Other | IN | CIGNA |
| 351173213 | Other | IN | HFN |
| 200185560 | Medicaid | IN | |
| 351173213 | Other | IN | ISPAT INLAND |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01044539A (Indiana) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036113678 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pathology Consultants Inc | 2466352208 | 21 |
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. Timothy Herbert Prahlow allows following entities to bill medicare on his behalf.
| Entity Name | Pathology Consultants Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972596864
PECOS PAC ID: 2466352208
Enrollment ID: O20040109000447 |
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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. Timothy Herbert Prahlow 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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Timothy Herbert Prahlow, MD
5700 Southwyck Blvd,
Toledo, OH 43614-1509
Ph: (800) 288-8325 | Timothy Herbert Prahlow, MD
3500 Franciscan Way,
Michigan City, IN 46360-0021
Ph: (219) 879-8511 |
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