Individual ProviderSamantha PadillaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1600 W 38th St Ste 115, Austin, TX 78731-6404(512) 458-6060PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Padilla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1255821195Provider TypeIndividualFull NamePadilla, SamanthaGenderFemaleSole ProprietorNoEnumeration Date5/16/2018Last Updated12/16/2022Contact InformationPractice LocationPractice Address1600 W 38th St Ste 115, Austin, TX 78731-6404Phone(512) 458-6060Fax(512) 458-6070Mailing LocationMailing Address1600 W 38th St Ste 115, Austin, TX 78731-6404Phone(512) 458-6060Fax(512) 458-6070Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP136531Texas