Organization
MIDWEST PATHOLOGY SPECIALISTS PLC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE PENKA MD (BILLING SPECIALIST)
(402) 717-2875
Entity
Organization
Contact information
Practice address
4955 F STREET, OMAHA, NE 68117
(402) 717-2875
(402) 717-5231
Mailing address
PO BOX 4907, OMAHA, NE 68104
(800) 831-2402
(843) 569-8503
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0508986
—
IA
01
—
44191
BCBS
IA
01
—
CD8493
RR MEDICARE
—
Enumeration date
04/12/2006
Last updated
01/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us