Trevor Suyak, in Peoria, IL - Medicare Nurse Practitioner

Trevor Suyak, is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Illinois. His current practice location is 8914 N Knoxville Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 691-9110.

Trevor Suyak is licensed to practice in Illinois (license number 209031056) 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 1174331920.

Contact Information

	Trevor Suyak,
	8914 N Knoxville Ave, Peoria, IL 61615-1410
	(309) 691-9110
	Not Available

Map and Direction

Provider's Profile

Full Name	Trevor Suyak
Gender	Male
Speciality	Nurse Practitioner - Family
Location	8914 N Knoxville Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174331920
Provider Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4082143664
Enrollment ID: I20250128000917

Medical Identifiers

Medical identifiers for Trevor Suyak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174331920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209031056 (Illinois)	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. Trevor Suyak allows following entities to bill medicare on his behalf.

Entity Name	Proctor Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906

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. Trevor Suyak 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
Trevor Suyak, 8914 N Knoxville Ave, Peoria, IL 61615-1410 Ph: (309) 691-9110	Trevor Suyak, 8914 N Knoxville Ave, Peoria, IL 61615-1410 Ph: (309) 691-9110

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

Trevor Suyak, - Medicare Nurse Practitioner in Peoria, IL