Trish Ann Trubachik, NP is a medicare enrolled "Nurse Practitioner - Family" in New Washington, Ohio. Her current practice location is
120 W Main St, New Washington, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 462-4575.
Trish Ann Trubachik is licensed to practice in Ohio (license number COA.11759-NP) 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 1336455930.
Provider's Profile
| Full Name | Trish Ann Trubachik |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 120 W Main St, New Washington, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336455930
- Provider Enumeration Date: 08/20/2010
- Last Update Date: 01/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971790601
- Enrollment ID: I20101208000000
Medical Identifiers
Medical identifiers for Trish Ann Trubachik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336455930 | NPI | - | NPPES |
| 0077204 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | COA.11759-NP (Ohio) | 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. Trish Ann Trubachik allows following entities to bill medicare on her behalf.
| Entity Name | North Central Ohio Family Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232 |
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| Entity Name | Knox Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173 |
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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. Trish Ann Trubachik 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 |
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Trish Ann Trubachik, NP
700 N Columbus St,
Crestline, OH 44827-1455
Ph: () - | Trish Ann Trubachik, NP
120 W Main St,
New Washington, OH 44854-9431
Ph: (419) 462-4575 |
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