| Mr Jason Christopher Carvalho, MD | |
|
6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | |
| (952) 993-5290 | |
| (952) 993-6193 |
| Full Name | Mr Jason Christopher Carvalho |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 21 Years |
| Location | 6500 Excelsior Blvd, Saint Louis Park, 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 |
|---|---|---|---|
| 1659494342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 52755 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Olivia Hospital & Clinic | Olivia, 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 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Christopher Carvalho, MD Po Box 385760, Bloomington, MN 55438-5760 Ph: (952) 994-1964 | Mr Jason Christopher Carvalho, MD 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 Ph: (952) 993-5290 |
Nathan E Lueck, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd., Saint Louis Park, MN 55426 Phone: 952-993-5290 Fax: 952-993-6193 |