Dr Thaddaeus R Castaneda, MD | |
143 S. John Sims Prkwy, Valparaiso, FL 32580 | |
(850) 729-3300 | |
(850) 729-3100 |
Full Name | Dr Thaddaeus R Castaneda |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 143 S. John Sims Prkwy, Valparaiso, Florida |
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 |
---|---|---|---|
1710920897 | NPI | - | NPPES |
2777061 00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME97507 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Twin Cities Hospital | Niceville, FL | Hospital |
North Okaloosa Medical Center | Crestview, FL | Hospital |
Entity Name | Emerald Coast Family Medicine Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093937963 PECOS PAC ID: 1759488133 Enrollment ID: O20070518000472 |
Mailing Address | Practice Location Address |
---|---|
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 |
Dr. Neil Baker Nipper, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 350 Jackson Circle, Valparaiso, FL 32580 Phone: 850-883-8288 Fax: 850-883-8192 | |
Dr. Donald B Schak Sr., M.D., PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 S John Sims Pkwy, Suite C, Valparaiso, FL 32580 Phone: 850-678-0061 Fax: 850-678-0068 |