| Christian M Daleiden, MD | |
|
5502 W Broadway Ave, Crystal, MN 55428-3508 | |
| (763) 287-6500 | |
| (763) 287-6544 |
| Full Name | Christian M Daleiden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 5502 W Broadway Ave, Crystal, Minnesota |
| 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 |
|---|---|---|---|
| 1912998469 | NPI | - | NPPES |
| 823316100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41599 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian M Daleiden, MD 5502 W Broadway Ave, Crystal, MN 55428-3508 Ph: (763) 287-6500 | Christian M Daleiden, MD 5502 W Broadway Ave, Crystal, MN 55428-3508 Ph: (763) 287-6500 |
Dr. Gene Wayne Velasco, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3501 Douglas Dr N, Crystal, MN 55422 Phone: 763-535-9601 Fax: 763-535-5601 | |
Joyce L Anderson, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Ofer Barniv, PAC Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Dr. Dawn M Blomgren I, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Suite 200, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Gretchen Soberay Betts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428 Phone: 763-504-6500 | |
Ruby Waiyee Tam, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Dr. Christine Irene Traxler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 888-290-1209 Fax: 833-973-3527 |