| Dr Justin Peter Bandino, MD | |
|
221 3rd St W, Jbsa Randolph, TX 78150-4800 | |
| (210) 652-6403 | |
| Not Available |
| Full Name | Dr Justin Peter Bandino |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 221 3rd St W, Jbsa Randolph, Texas |
| 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 |
|---|---|---|---|
| 1780828863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | R3796 (Texas) | Secondary |
| 208D00000X | General Practice | R3796 (Texas) | Primary |
| 207N00000X | Dermatology | R3796 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Pa | 3971827791 | 107 |
| Entity Name | Village Oaks Pathology Services, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730138397 PECOS PAC ID: 5597754507 Enrollment ID: O20040506000871 |
| Entity Name | Sonterra Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285925966 PECOS PAC ID: 5193972859 Enrollment ID: O20120831000104 |
| Entity Name | Epiphany Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Peter Bandino, MD 221 3rd St W, Jbsa Randolph, TX 78150-4800 Ph: (210) 652-6403 | Dr Justin Peter Bandino, MD 221 3rd St W, Jbsa Randolph, TX 78150-4800 Ph: (210) 652-6403 |
April Woody, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-3646 Fax: 210-652-3218 | |
Dr. Gabrielle Schlain, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-652-3284 | |
Dr. Jacqueline Gutierrez, MD General Practice Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-4267 | |
Nolan Feola, MD General Practice Medicare: Medicare Enrolled Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-652-8544 |