Timothy David Kadlecek, DO | |
19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 | |
(503) 692-5737 | |
(503) 692-5307 |
Full Name | Timothy David Kadlecek |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 19300 Sw 65th, Tualatin, Oregon |
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 |
---|---|---|---|
1538229315 | NPI | - | NPPES |
275059 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | DO24732 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Silverton Medical Center | Silverton, OR | Hospital |
Good Shepherd Medical Center | Hermiston, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tualatin Imaging Pc | 8123011392 | 18 |
Good Shepherd Health Care System | 9133033764 | 54 |
Entity Name | Good Shepherd Health Care System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
Entity Name | Tualatin Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295807055 PECOS PAC ID: 8123011392 Enrollment ID: O20040405001080 |
Entity Name | Willamette Radiology Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700647765 PECOS PAC ID: 9335681972 Enrollment ID: O20240611000606 |
Mailing Address | Practice Location Address |
---|---|
Timothy David Kadlecek, DO 6464 Sw Borland Road, Suite A4, Tualatin, OR 97062-8854 Ph: (503) 692-5737 | Timothy David Kadlecek, DO 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062-8854 Ph: (503) 692-5737 |
Dr. Matthew Michael Treinen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 Fax: 503-692-5307 | |
Dr. Marcus Paul Carr, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Brian Robert Mahon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 | |
Joseph Marquardt, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Gregory S Willis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6489 Sw Borland Rd, Tualatin, OR 97062 Phone: 503-692-4843 Fax: 503-692-6543 | |
David Wesley Nelson Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th, Legacy Meridian Park Hospital, Tualatin, OR 97062 Phone: 503-692-5737 Fax: 503-692-5307 |