| Wilfrido Ricardo Castaneda, MD | |
|
166 4th St E, Saint Paul, MN 55101-1421 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Wilfrido Ricardo Castaneda |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 166 4th St E, Saint Paul, 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 |
|---|---|---|---|
| 1780720433 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| P00873580 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18513 (Minnesota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 51571 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Olivia Hospital & Clinic | Olivia, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| 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 | 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 |
|---|---|
| Wilfrido Ricardo Castaneda, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2000 | Wilfrido Ricardo Castaneda, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2000 |
Joseph H Tashjian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Dr. Lorraine Laroy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136 | |
Dr. Paul Robert Oler Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Christopher A Jackson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Mckinley Cribbs Lawson, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Kathryn E. Farniok, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 345 Sherman St, Saint Paul, MN 55102 Phone: 651-251-5500 Fax: 651-251-5555 | |
Dr. Janel A Cox, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 631 Goodrich Ave, Saint Paul, MN 55105 Phone: 651-224-4255 |