Gilbert Alvarado, PA-C
Individual provider Active NPI Medical Physician Assistant · Denver City, TX
NPI 1801072541 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1801072541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA05491 (TX)
- Practice address
- 415 N Avenue F
Denver City, TX 79323-2741 - Phone
- (806) 592-9501
- Fax
- (806) 592-3052
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080903000216 | TX | Practitioner - Physician Assistant | 7315013174 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05491 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Yoakum | Current | Accepting new patients | |
| County of Yoakum | Current |
Accepting new patients | |
| County of Yoakum | Past | Accepting new patients | |
| County of Yoakum | Past | Accepting new patients |
Locations
412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121
415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05491 | TX | Yes |
Addresses
Primary practice location
415 N Avenue F
Denver City, TX 79323-2741
Mailing address
415 N Avenue F
Denver City, TX 79323-2741
Phone (806) 592-9501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075DJ | Other | TX | BLUE CROSS/BLUE SHIELD |
| 137227810 | Medicaid | TX | |
| 063623501 | Medicaid | TX | |
| 0082EV | Other | TX | BLUE CROSS/BLUE SHIELD |
Other providers in Denver City, TX
All providers in Denver City, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.