Ms Kim Lauren Trahan, PA is a medicare enrolled "Physician Assistant" in Athens, Pennsylvania. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Our Lady Of Lourdes Memorial Hospital Inc and her current practice location is
412 S Main St, Athens, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 888-9655.
Ms Kim Lauren Trahan is licensed to practice in Pennsylvania (license number MA002671L) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922073709.
Provider's Profile
| Full Name | Ms Kim Lauren Trahan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 412 S Main St, Athens, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kim Lauren Trahan graduated from nursing school in 1998
NPI Data:
- NPI Number: 1922073709
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 04/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456399674
- Enrollment ID: I20190925000408
Medical Identifiers
Medical identifiers for Ms Kim Lauren Trahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922073709 | NPI | - | NPPES |
| 970020849 | Other | PA | RR MEDICARE PIN |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| GU039830 | Other | PA | PA MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 006561-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | MA002671L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 226 |
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. Ms Kim Lauren Trahan 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 |
|---|
Ms Kim Lauren Trahan, PA
1 Guthrie Sq,
Sayre, PA 18840-1625
Ph: (570) 888-5858 | Ms Kim Lauren Trahan, PA
412 S Main St,
Athens, PA 18810-1618
Ph: (570) 888-9655 |
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