Edgar Alberto Trevino, MD is a medicare enrolled "Hospitalist" physician in Coupeville, Washington. His current practice location is
101 N Main St, Coupeville, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 678-5151.
Edgar Alberto Trevino is licensed to practice in Montana (license number 61897) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033370176.
Physician's Profile
| Full Name | Edgar Alberto Trevino |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 101 N Main St, Coupeville, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033370176
- Provider Enumeration Date: 06/20/2008
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385700434
- Enrollment ID: I20100115000411
Medical Identifiers
Medical identifiers for Edgar Alberto Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033370176 | NPI | - | NPPES |
| TXB100623 | Other | TX | MEDICARE GRP NUMBER |
| 1669794657 | Other | TX | NPI GROUP NUMBER |
| 212222801 | Medicaid | TX | |
| 212220201 | Other | TX | MEDICAID GROUP NUMBER |
| 212220202 | Other | TX | MEDICAID TEXAS HEALTH STEPS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | N4805 (Texas) | Secondary |
| 208M00000X | Hospitalist | 61897 (Montana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edgar Alberto Trevino allows following entities to bill medicare on his behalf.
| Entity Name | South Sound Inpatient Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
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| Entity Name | Cogent Healthcare Of Washington, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
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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. Edgar Alberto Trevino is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Edgar Alberto Trevino, MD 101 W Village Blvd, Ste B, Laredo, TX 78041-2211 Ph: (956) 285-7785 | Edgar Alberto Trevino, MD 101 N Main St, Coupeville, WA 98239 Ph: (360) 678-5151 |
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