| Dr Humberto Palladino, MD | |
|
10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 | |
| (915) 590-7900 | |
| (915) 590-7902 |
| Full Name | Dr Humberto Palladino |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 10175 Gateway Blvd W, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912169053 | NPI | - | NPPES |
| 281643103 | Medicaid | TX | |
| ENROLLED | Medicaid | MN | |
| 8CU427 | Other | BCBS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 104625 (Minnesota) | Secondary |
| 208600000X | Surgery | BP20019087 (Texas) | Primary |
| Entity Name | Texas Tech University Health Sciences Center El Paso |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Humberto Palladino, MD 10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 Ph: (915) 590-7900 | Dr Humberto Palladino, MD 10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 Ph: (915) 590-7900 |
Thomas Lowell Pester, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 Murchison Dr Ste 211, El Paso, TX 79902 Phone: 915-533-5100 Fax: 915-533-5101 | |
Evelyn Lillian Kachikwu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Transmountain Rd Ste B, El Paso, TX 79911 Phone: 915-215-8400 Fax: 915-612-9253 | |
Dr. Michael Anthony Weber, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5005 N Piedras St, Wbamc, El Paso, TX 79920 Phone: 915-569-3695 | |
Ruben Ortiz, LSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 8304 Shaver Dr, El Paso, TX 79925 Phone: 214-227-2457 Fax: 214-764-0880 | |
Elaine Cleveland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-215-5300 Fax: 915-215-8606 | |
Dr. Evan Andrew Liggett, MD Surgery Medicare: Medicare Enrolled Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5300 Fax: 915-215-8606 | |
Trevor Samuel Silva, MD Surgery Medicare: Medicare Enrolled Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5300 |