Tirso A Castillo, MD | |
111 Fairview Park Dr, Dublin, GA 31021-2501 | |
(478) 272-1366 | |
(478) 275-2322 |
Full Name | Tirso A Castillo |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 38 Years |
Location | 111 Fairview Park Dr, Dublin, Georgia |
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 |
---|---|---|---|
1083692560 | NPI | - | NPPES |
000872066A | Medicaid | GA | |
52420599-002 | Other | GA | BCBS |
681242 | Other | GA | FIRST HEALTH |
4653853 | Other | GA | AETNA |
1007287 | Other | GA | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 048883 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Tirso A Castillo, MD Po Box 1528, Dublin, GA 31040-1528 Ph: (478) 272-1366 | Tirso A Castillo, MD 111 Fairview Park Dr, Dublin, GA 31021-2501 Ph: (478) 272-1366 |
Dr. Raman S.p Damineni, M.D Gastroenterology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 | |
Pride R Chapman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922 | |
Andre Christopher Lewis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663 | |
Matthew B Grundfast, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468 | |
Dr. Meenakshi Mohan Ram, M.D., Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Dr. Arun George, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 |