| Andrew Trent, MD | |
|
2865 Daggett Ave, Klamath Falls, OR 97601-1106 | |
| (541) 882-6311 | |
| Not Available |
| Full Name | Andrew Trent |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 2865 Daggett Ave, Klamath Falls, Oregon |
| 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 |
|---|---|---|---|
| 1942595806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD167559 (Oregon) | Secondary |
| 208M00000X | Hospitalist | A122730 (California) | Primary |
| 207Q00000X | Family Medicine | A122730 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enloe Medical Center | Chico, CA | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| St Elizabeth Community Hospital | Red bluff, CA | Hospital |
| Ucsf Medical Center | San francisco, CA | Hospital |
| Orchard Hospital | Gridley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Enloe Medical Center | 9739092388 | 355 |
| Enloe Health And Wellness | 3678946282 | 35 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Entity Name | Enloe Primary Physicians Medical Group A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205877156 PECOS PAC ID: 6305740929 Enrollment ID: O20031124000832 |
| Entity Name | Enloe Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740922426 PECOS PAC ID: 3678946282 Enrollment ID: O20230301002967 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Trent, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 882-6311 | Andrew Trent, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 882-6311 |