| Timothy David Kadlecek, DO | |
|
19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | |
| (503) 692-5737 | |
| (503) 692-5307 |
| Full Name | Timothy David Kadlecek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 19300 Sw 65th, Tualatin, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538229315 | NPI | - | NPPES |
| 275059 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DO24732 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Grande Ronde Hospital | La grande, OR | Hospital |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Tualatin Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295807055 PECOS PAC ID: 8123011392 Enrollment ID: O20040405001080 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Entity Name | Willamette Radiology Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700647765 PECOS PAC ID: 9335681972 Enrollment ID: O20240611000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy David Kadlecek, DO 6464 Sw Borland Road, Suite A4, Tualatin, OR 97062-8854 Ph: (503) 692-5737 | Timothy David Kadlecek, DO 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 Ph: (503) 692-5737 |
Dr. Matthew Michael Treinen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 Fax: 503-692-5307 | |
Dr. Marcus Paul Carr, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Brian Robert Mahon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 | |
Joseph Marquardt, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Gregory S Willis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6489 Sw Borland Rd, Tualatin, OR 97062 Phone: 503-692-4843 Fax: 503-692-6543 | |
David Wesley Nelson Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 |