Dr Mary L Trevino, PHD is a medicare enrolled "Psychologist - Health Service" provider in Seguin, Texas. Her current practice location is
261 Turtle Ln, Seguin, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 250-1298.
Dr Mary L Trevino is licensed to practice in Texas (license number 11530) 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 1851428957.
Healthcare Provider's Profile
| Full Name | Dr Mary L Trevino |
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| Gender | Female |
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| Speciality | Psychologist - Health Service |
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| Location | 261 Turtle Ln, Seguin, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851428957
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 03/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 8820069370
- Enrollment ID: I20040809000457
Medical Identifiers
Medical identifiers for Dr Mary L Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851428957 | NPI | - | NPPES |
| 166851902 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TH0100X | Psychologist - Health Service | 11530 (Texas) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 11530 (Texas) | 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. Dr Mary L Trevino allows following entities to bill medicare on her behalf.
| Entity Name | Autumn View Alliance, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821283177 PECOS PAC ID: 6901936103 Enrollment ID: O20100615000499 |
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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. Dr Mary L Trevino 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 |
Dr Mary L Trevino, PHD 261 Turtle Ln, Seguin, TX 78155-3142 Ph: (210) 250-1298 | Dr Mary L Trevino, PHD 261 Turtle Ln, Seguin, TX 78155-3142 Ph: (210) 250-1298 |
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