| Timothy Herbert Prahlow, MD | |
|
3500 Franciscan Way, Michigan City, IN 46360-0021 | |
| (219) 879-8511 | |
| (219) 877-1081 |
| Full Name | Timothy Herbert Prahlow |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 3500 Franciscan Way, Michigan City, Indiana |
| 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 |
|---|---|---|---|
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Consultants Inc | 2466352208 | 21 |
| Entity Name | Pathology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972596864 PECOS PAC ID: 2466352208 Enrollment ID: O20040109000447 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
John Sewell Gerometta, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 301 W Homer St, St Anthony Memorial Hospital, Michigan City, IN 46360 Phone: 219-861-8669 Fax: 219-877-1081 | |
Thomas Henry Roberts, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: St Anthony Memorial Hospital, 301 E Homer St, Michigan City, IN 46360 Phone: 219-861-8688 Fax: 219-877-1081 |