| Timothy J Pelkey, MD | |
|
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
| (616) 252-7166 | |
| Not Available |
| Full Name | Timothy J Pelkey |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 33 Years |
| Location | 5900 Byron Center Ave Sw, Wyoming, 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 |
|---|---|---|---|
| 1942296785 | NPI | - | NPPES |
| 1942296785 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | 4301072203 (Michigan) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301072203 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metro Health Hospital | Wyoming, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Associates Of Grand Rapids Pc | 5698677573 | 9 |
| Entity Name | Pathology Associates Of Grand Rapids Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184636821 PECOS PAC ID: 5698677573 Enrollment ID: O20040122000025 |
| Entity Name | Michigan Urological Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586164 PECOS PAC ID: 4183694870 Enrollment ID: O20040729000832 |
| Entity Name | Urology Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467561480 PECOS PAC ID: 3072559863 Enrollment ID: O20050701000345 |
| Entity Name | Urology Associates Pc Of Grand Rapids |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073536272 PECOS PAC ID: 5092783654 Enrollment ID: O20070425000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Pelkey, MD Po Box 1629, Lima, OH 45802-1629 Ph: (877) 378-4293 | Timothy J Pelkey, MD 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7166 |
Sarat Chandra Khandavalli, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7166 | |
Ghayas Uddin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7166 Fax: 616-252-6297 | |
Dr. Raj Neale Hari, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
John Michael Wilson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7429 Fax: 616-252-6297 | |
Michael C Naski, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7166 | |
Dr. Andrew Francis Martowski, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-6297 |