Jonathan Konopinski, | |
530 N Lafayette Blvd, South Bend, IN 46601-1004 | |
(574) 234-4176 | |
Not Available |
Full Name | Jonathan Konopinski |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 10 Years |
Location | 530 N Lafayette Blvd, South Bend, 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 |
---|---|---|---|
1629497185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01082334A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Memorial Hospital | Logansport, IN | Hospital |
Elkhart General Hospital | Elkhart, IN | Hospital |
University Of Michigan Health System | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Bend Medical Foundation Inc | 3971411349 | 14 |
South Bend Medical Foundation Inc | 3971411349 | 14 |
Entity Name | South Bend Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649241084 PECOS PAC ID: 3971411349 Enrollment ID: O20050119000195 |
Entity Name | Legacy Path Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205693728 PECOS PAC ID: 5890237960 Enrollment ID: O20240604002377 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Konopinski, 530 N Lafayette Blvd, South Bend, IN 46601-1004 Ph: (574) 234-4176 | Jonathan Konopinski, 530 N Lafayette Blvd, South Bend, IN 46601-1004 Ph: (574) 234-4176 |
Bobbie Sutton, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
Luis Galup, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
James Dyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
Joseph Prahlow, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
Nicole Anest, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
Fred Busse, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 | |
Odeta Lapkus, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561 |