Mr Trevon Roshad Douglas, AGACNP-BC in Wichita Falls, TX

Mr Trevon Roshad Douglas, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Wichita Falls, Texas. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice La Magna Health Pllc, Critical Care Specialists Of North Texas Pllc and his current practice location is 1600 11th St, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 764-8400.

Mr Trevon Roshad Douglas is licensed to practice in Texas (license number AP135794) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528571759.

Contact Information

	Mr Trevon Roshad Douglas, AGACNP-BC
	1600 11th St, Wichita Falls, TX 76301-4300
	(940) 764-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Trevon Roshad Douglas
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1600 11th St, Wichita Falls, 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.

Medical Education and Training:

Mr Trevon Roshad Douglas graduated from nursing school in 2017

NPI Data:

NPI Number: 1528571759
Provider Enumeration Date: 11/09/2017
Last Update Date: 11/09/2017

Medicare PECOS Information:

PECOS PAC ID: 9133483613
Enrollment ID: I20180509001553

Medical Identifiers

Medical identifiers for Mr Trevon Roshad Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528571759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP135794 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Regional Health Care System	Wichita falls, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Magna Health Pllc	0749540045	26
Critical Care Specialists Of North Texas Pllc	4880827104	11

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. Mr Trevon Roshad Douglas allows following entities to bill medicare on his behalf.

Entity Name	Internal Medicine Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972604569 PECOS PAC ID: 8527018233 Enrollment ID: O20050129000164

Entity Name	Critical Care Specialists Of North Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851717508 PECOS PAC ID: 4880827104 Enrollment ID: O20140512000760

Entity Name	Texoma Rehab Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679022404 PECOS PAC ID: 0042599151 Enrollment ID: O20161114000741

Entity Name	La Magna Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699285346 PECOS PAC ID: 0749540045 Enrollment ID: O20180206001403

Entity Name	Micah Boyer Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114564085 PECOS PAC ID: 8426482159 Enrollment ID: O20200106000177

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. Mr Trevon Roshad Douglas 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
Mr Trevon Roshad Douglas, AGACNP-BC 1201 Sunnyside Ln, Wichita Falls, TX 76301-8172 Ph: () -	Mr Trevon Roshad Douglas, AGACNP-BC 1600 11th St, Wichita Falls, TX 76301-4300 Ph: (940) 764-8400

Reviews and Comments

Nurse Practitioner Nurses in Wichita Falls, TX

Eric Lee Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 Fax: 940-397-5292
Jessica Denea Lander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200
Ashley Nicole Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5503
Jeanette Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 406-921-2209
Judith L Brewer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 867 Wellington Ln, Wichita Falls, TX 76305 Phone: 940-704-4496
Mrs. Hanh T Roller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5200 Fax: 940-764-5201
Jonie Gene Lyon, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4518 Kemp Blvd, Wichita Falls, TX 76308 Phone: 940-757-0234

Mr Trevon Roshad Douglas, AGACNP-BC - Medicare Nurse Practitioner in Wichita Falls, TX