Mr Thadeo Gonzales Trivilegio, ASCPI,CM is a
Pathology - Clinical Pathology/laboratory Medicine physician based in Madisonville, Texas. Mr Thadeo Gonzales Trivilegio is licensed to practice in Illinois (license number 25560204) and his current practice location is 100 W Cross St, Madisonville, Texas. He can be reached at his office (for appointments etc.) via phone at
(936) 349-1574.
NPI number for Mr Thadeo Gonzales Trivilegio is 1033931589 and his current mailing address is 402 Bacon St Apt 2, Madisonville, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033931589.
Physician's Profile
| Full Name | Mr Thadeo Gonzales Trivilegio |
|---|
| Gender | Male |
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| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
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| Location | 100 W Cross St, Madisonville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033931589
- Provider Enumeration Date: 10/28/2024
- Last Update Date: 10/28/2024
Medical Identifiers
Medical identifiers for Mr Thadeo Gonzales Trivilegio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033931589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 25560204 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thadeo Gonzales Trivilegio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thadeo Gonzales Trivilegio, ASCPI,CM
402 Bacon St Apt 2,
Madisonville, TX 77864-2556
Ph: (936) 436-3238 | Mr Thadeo Gonzales Trivilegio, ASCPI,CM
100 W Cross St,
Madisonville, TX 77864-2432
Ph: (936) 349-1574 |
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