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 | 26 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 | 1530 |
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: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Jennifer J. Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 |