Mandy Lynn Trevino, MD is a
Family Medicine physician based in Holly, Michigan. Mandy Lynn Trevino is licensed to practice in Michigan (license number 4301099014) and her current practice location is 3045 Grange Hall Rd, Ste 7, Holly, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 627-4978.
NPI number for Mandy Lynn Trevino is 1861784340 and her current mailing address is 3495 S Center Rd, Burton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861784340.
Physician's Profile
| Full Name | Mandy Lynn Trevino |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3045 Grange Hall Rd, Holly, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861784340
- Provider Enumeration Date: 05/03/2011
- Last Update Date: 12/02/2016
Medical Identifiers
Medical identifiers for Mandy Lynn Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861784340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4301099014 (Michigan) | 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. Mandy Lynn Trevino 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 |
|---|
Mandy Lynn Trevino, MD
3495 S Center Rd,
Burton, MI 48519-1455
Ph: (810) 424-2011 | Mandy Lynn Trevino, MD
3045 Grange Hall Rd, Ste 7,
Holly, MI 48442-1020
Ph: (248) 627-4978 |
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