| Dr Alejandro Mendez Castillo, MD | |
|
1101 W Liberty St, Farmington, MO 63640-1921 | |
| (573) 756-6451 | |
| Not Available |
| Full Name | Dr Alejandro Mendez Castillo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 1101 W Liberty St, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1649255076 | NPI | - | NPPES |
| 431142188OSU | Other | MERCY | |
| 207432501 | Medicaid | MO | |
| 720096 | Other | HEALTHLINK | |
| 140376000 | Other | DEPT OF LABOR | |
| 4964V4964 | Other | GHP | |
| 1765 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2005027156 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Madison Medical Center | Fredericktown, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| Blessing Hospital | 3072422534 | 369 |
| Ssm Health Care Group | 0143608372 | 802 |
| Interventional Pain Institute, Llc | 1153451919 | 8 |
| Blessing Hospital | 3072422534 | 369 |
| Nrg-parkland Llc | 5193141562 | 4 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alejandro Mendez Castillo, MD 15914 Woodlet Park Ct, Chesterfield, MO 63017-5033 Ph: (573) 999-6849 | Dr Alejandro Mendez Castillo, MD 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6451 |
Kenneth D Smith, MD Radiology Medicare: Medicare Enrolled Practice Location: 1101 W Liberty, Parkland Health Center Dept Of Radiology, Farmington, MO 63640 Phone: 573-760-8075 Fax: 573-760-8358 | |
Troy Constant Avendanio, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Dept. Of Radiology, Farmington, MO 63640 Phone: 573-760-8075 | |
Kenneth L Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty, Parkland Health Center Dept Of Radiology, Farmington, MO 63640 Phone: 573-760-8075 Fax: 573-760-8358 |