Dr Thaddaeus R Castaneda, MD is a medicare enrolled "Family Medicine" physician in Valparaiso, Florida. He went to Medical College Of Ohio and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. His current practice location is
143 S. John Sims Prkwy, Valparaiso, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 729-3300.
Dr Thaddaeus R Castaneda is licensed to practice in Florida (license number ME97507) 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 1710920897.
Physician's Profile
| Full Name | Dr Thaddaeus R Castaneda |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 143 S. John Sims Prkwy, Valparaiso, Florida |
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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 Thaddaeus R Castaneda attended and graduated from Medical College Of Ohio in 1997
NPI Data:
- NPI Number: 1710920897
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 02/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 0446154884
- Enrollment ID: I20070405000159
Medical Identifiers
Medical identifiers for Dr Thaddaeus R Castaneda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710920897 | NPI | - | NPPES |
| 2777061 00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ME97507 (Florida) | Primary |
Medical Facilities Affiliation
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 Thaddaeus R Castaneda allows following entities to bill medicare on his behalf.
| Entity Name | Emerald Coast Family Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093937963
PECOS PAC ID: 1759488133
Enrollment ID: O20070518000472 |
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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 Thaddaeus R Castaneda 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 Thaddaeus R Castaneda, MD
143 S John Sims Pkwy,
Valparaiso, FL 32580-1271
Ph: (850) 729-3300 | Dr Thaddaeus R Castaneda, MD
143 S. John Sims Prkwy,
Valparaiso, FL 32580
Ph: (850) 729-3300 |
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