| Gustavo M Padron, MD | |
|
755 N 11th St, Beaumont, TX 77702-1500 | |
| (409) 899-7500 | |
| (985) 646-0750 |
| Full Name | Gustavo M Padron |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 755 N 11th St, Beaumont, 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 |
|---|---|---|---|
| 1417911090 | NPI | - | NPPES |
| 124167102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | J1751 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Baptist Beaumont Hospital | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Texas Imaging Llp | 3779566906 | 3 |
| Entity Name | Southeast Texas Imaging Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346205093 PECOS PAC ID: 3779566906 Enrollment ID: O20040609001101 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
| Entity Name | North Star Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
| Entity Name | North Star Mri Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
| Entity Name | North Star Plano Parkway Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740601863 PECOS PAC ID: 0244456002 Enrollment ID: O20140731000606 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Entity Name | North Star Fp Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
| Entity Name | North Star Gv Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo M Padron, MD Po Box 2409, Indianapolis, IN 46206-2409 Ph: (800) 550-5606 | Gustavo M Padron, MD 755 N 11th St, Beaumont, TX 77702-1500 Ph: (409) 899-7500 |
Dr. Raleigh Francis Johnson Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3560 Delaware St Ste 209, Beaumont, TX 77706 Phone: 409-899-3682 | |
Dr. Chisaroka Wobiareri Echendu, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 310 N 11th St, Beaumont, TX 77702 Phone: 409-981-5510 Fax: 409-981-5511 | |
Daniel C Karnicki, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 209, Beaumont, TX 77706 Phone: 409-899-3682 | |
John K. Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3560 Delaware St, 209, Beaumont, TX 77706 Phone: 409-899-3682 | |
Stephen N Cherewaty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 25 N 11th St, Beaumont, TX 77702 Phone: 409-838-4772 Fax: 409-838-6134 | |
Karen Elizondo, RT (R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-892-7171 |