Mrs Krista J Trevathan, PA-C is a medicare enrolled "Physician Assistant" in Jeffersontown, Kentucky. Her current practice location is
3310 Ruckriegel Pkwy, Jeffersontown, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 212-0071.
Mrs Krista J Trevathan is licensed to practice in Kentucky (license number PA238) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548262090.
Provider's Profile
| Full Name | Mrs Krista J Trevathan |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3310 Ruckriegel Pkwy, Jeffersontown, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548262090
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 07/31/2026
Medicare PECOS Information:
- PECOS PAC ID: 8426002767
- Enrollment ID: I20050309000494
Medical Identifiers
Medical identifiers for Mrs Krista J Trevathan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548262090 | NPI | - | NPPES |
| 65926933 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA238 (Kentucky) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA238 (Kentucky) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA238 (Kentucky) | Secondary |
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. Mrs Krista J Trevathan allows following entities to bill medicare on her behalf.
| Entity Name | John L. Buker, M.D., PSC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114197803
PECOS PAC ID: 7113813932
Enrollment ID: O20040226000997 |
|---|
| Entity Name | Specialistsmat PSC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851998181
PECOS PAC ID: 7810307634
Enrollment ID: O20201106001396 |
|---|
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. Mrs Krista J Trevathan 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 |
|---|
Mrs Krista J Trevathan, PA-C
110 Chase Way Ste 2,
Elizabethtown, KY 42701-7827
Ph: (502) 212-0071 | Mrs Krista J Trevathan, PA-C
3310 Ruckriegel Pkwy,
Jeffersontown, KY 40299-3764
Ph: (502) 212-0071 |
Reviews and Comments