| Mr Bryan M Baca Sr, MSN | |
|
6211 Edgemere Blvd, Suite 1, El Paso, TX 79925-3413 | |
| (915) 881-8264 | |
| (915) 881-8082 |
| Full Name | Mr Bryan M Baca Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 6211 Edgemere Blvd, El Paso, 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 |
|---|---|---|---|
| 1487103370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP131880 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Orthopaedics Of El Paso, Pllc | 9032272687 | 4 |
| Entity Name | Elite Orthopaedics Of El Paso, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184899312 PECOS PAC ID: 9032272687 Enrollment ID: O20090108000538 |
| Entity Name | Nuch Of Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760722334 PECOS PAC ID: 4880833698 Enrollment ID: O20130626000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan M Baca Sr, MSN 10640 Gateway Blvd N, Suite B, El Paso, TX 79924-1700 Ph: (915) 307-4936 | Mr Bryan M Baca Sr, MSN 6211 Edgemere Blvd, Suite 1, El Paso, TX 79925-3413 Ph: (915) 881-8264 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 | |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13001 Easlake Blvd, Suite 105, El Paso, TX 79928 Phone: 915-248-2345 Fax: 915-271-4412 | |
Miss Bianca Elena Montes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12501 Gateway Blvd S, El Paso, TX 79934 Phone: 915-834-4512 | |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 | |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 | |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 | |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 |