Dr Michael Thomas Paddock, DO is a medicare enrolled "Emergency Medicine" physician in St. Paul, Minnesota. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Regions Hospital and his current practice location is
640 Jackson Street, Ms11102f, St. Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 254-3456.
Dr Michael Thomas Paddock is licensed to practice in Minnesota (license number 108311) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457663601.
Physician's Profile
| Full Name | Dr Michael Thomas Paddock |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 14 Years |
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| Location | 640 Jackson Street, St. Paul, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Thomas Paddock attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2010
NPI Data:
- NPI Number: 1457663601
- Provider Enumeration Date: 07/04/2010
- Last Update Date: 05/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941425789
- Enrollment ID: I20150716001200
Medical Identifiers
Medical identifiers for Dr Michael Thomas Paddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457663601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036131957 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 64249 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 108311 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Regions Hospital | 3173436755 | 159 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Thomas Paddock allows following entities to bill medicare on his behalf.
| Entity Name | Regions Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154359917
PECOS PAC ID: 3173436755
Enrollment ID: O20031110000511 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Thomas Paddock is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Michael Thomas Paddock, DO
Po Box 1309 - 8170 33rd Ave S, Ms 21110q,
Minneapolis, MN 55425-4516
Ph: (651) 254-3456 | Dr Michael Thomas Paddock, DO
640 Jackson Street, Ms11102f,
St. Paul, MN 55101-2502
Ph: (651) 254-3456 |
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