Tommy Mislenkov, MD | |
800 Lincolnway, Suite 301, La Porte, IN 46350-3438 | |
(219) 324-2229 | |
(219) 324-2229 |
Full Name | Tommy Mislenkov |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 800 Lincolnway, La Porte, 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 |
---|---|---|---|
1912103904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01061306A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Health - Porter | Valparaiso, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Porter County Anesthesia Associates Pc | 4789573411 | 24 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Entity Name | Porter County Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215974936 PECOS PAC ID: 4789573411 Enrollment ID: O20040311001120 |
Entity Name | La Porte County Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477553634 PECOS PAC ID: 4688633241 Enrollment ID: O20041008000231 |
Mailing Address | Practice Location Address |
---|---|
Tommy Mislenkov, MD 800 Lincolnway, Suite 301, La Porte, IN 46350-3438 Ph: (219) 324-2229 | Tommy Mislenkov, MD 800 Lincolnway, Suite 301, La Porte, IN 46350-3438 Ph: (219) 324-2229 |
Jeremiah L Ashe, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 974 S Redbud Dr, La Porte, IN 46350 Phone: 317-679-1792 | |
Jana Dimce Dukleski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Richard J Gnaedinger, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
Linda S Sirugo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 | |
Dale A. Goodman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234 | |
William E. Wolf Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-324-2229 Fax: 219-324-2229 | |
Chetan Puranik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 504 Legacy Plz W, La Porte, IN 46350 Phone: 219-326-7246 Fax: 219-326-7234 |