Thaddeus Stanley Walczak, MD | |
5775 Wayzata Blvd, Suite 200, Minneapolis, MN 55416-1222 | |
(952) 525-4511 | |
(952) 525-1560 |
Full Name | Thaddeus Stanley Walczak |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 42 Years |
Location | 5775 Wayzata Blvd, Minneapolis, 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 |
---|---|---|---|
1538180864 | NPI | - | NPPES |
792831 | Other | AMERICAS PPO | |
31Q17WA | Other | MN | BLUE CROSS BLUE SHIELD |
A011 | Other | TRIWEST | |
130018102 | Other | RAILROAD MEDICARE | |
338516700 | Medicaid | MN | |
10088 | Medicaid | ND | |
41-1677590 | Other | 1ST CHOICE OF THE MIDWEST | |
HP7170 | Other | HEALTHPARTNERS | |
01014968 | Other | PREFERRED ONE | |
05-81578 | Other | MEDICA | |
41-1677590 | Other | WEA TRUST INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 40359 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Fairview Southdale Hospital | Edina, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Express Care | 3375645179 | 1537 |
University Of Minnesota Health Clinics And Surgery Center Inc | 9133423304 | 483 |
University Of Minnesota Physicians | 9830001189 | 124 |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | Healtheast St John's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
Entity Name | Healtheast Care System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Thaddeus Stanley Walczak, MD 5775 Wayzata Blvd, Suite 200, Minneapolis, MN 55416-1222 Ph: (952) 525-4511 | Thaddeus Stanley Walczak, MD 5775 Wayzata Blvd, Suite 200, Minneapolis, MN 55416-1222 Ph: (952) 525-4511 |
Dr. Michael Charles Harlow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 S 8th St Ste 110, Hennepin County Medical Center, Minneapolis, MN 55404 Phone: 612-347-2218 Fax: 612-373-1859 | |
Dr. Brittani Lauren Conway, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 651-226-2890 | |
Leonardo Brito De Almeida, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-626-7038 | |
Dr. Erin Quaranta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
William Spring, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4826 Chicago Ave, Ste 208, Minneapolis, MN 55417 Phone: 651-224-1399 | |
Dr. Angala B Borders-robinson, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2828 Chicago Ave Ste 200, Minneapolis, MN 55407 Phone: 612-879-1000 Fax: 612-879-9116 | |
Bruce D Snyder, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2220 Riverside Ave S, Healthpartners Riverside Clinic - Ms 31700a, Minneapolis, MN 55454 Phone: 612-341-5000 Fax: 612-371-1673 |