Thomas A Castillo, DO | |
240 Corporate Drive, Beaver Dam, WI 53916-3115 | |
(920) 887-1151 | |
(920) 887-3353 |
Full Name | Thomas A Castillo |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 47 Years |
Location | 240 Corporate Drive, Beaver Dam, Wisconsin |
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 |
---|---|---|---|
1700805454 | NPI | - | NPPES |
391156156 | Other | TAX ID | |
180034885 | Other | WI | RAIL ROAD MEDICARE |
31662 | Other | NETWORK HEALTH PLAN | |
30088300 | Medicaid | WI | |
11995 | Other | DEAN CARE HMO | |
1024501 | Other | PHYSICIANS PLUS HMO | |
39115615613 | Other | UNITY HMO | |
WI0113 | Other | JOHN DEERE HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 40496 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaver Dam Community Hospitals Inc. | 2567370539 | 56 |
Entity Name | Beaver Dam Community Hospitals Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
Entity Name | Vita Park Eye Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154418051 PECOS PAC ID: 8527956754 Enrollment ID: O20040309000339 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Castillo, DO 240 Corporate Drive, Beaver Dam, WI 53916-3115 Ph: (920) 887-1151 | Thomas A Castillo, DO 240 Corporate Drive, Beaver Dam, WI 53916-3115 Ph: (920) 887-1151 |
George E Davis, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave, Suite 100, Beaver Dam, WI 53916 Phone: 920-887-1151 Fax: 920-887-3353 | |
Erik O Schoff, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 240 Corporate Drive, Beaver Dam, WI 53916 Phone: 920-887-1151 Fax: 920-887-3353 | |
Omar Abdelmegid, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 | |
Jay M Wilkins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 240 Corporate Drive, Beaver Dam, WI 53916 Phone: 920-887-1151 Fax: 920-887-3353 |