Dr Trevor G Gates-crandall, is a medicare enrolled "Social Worker - Clinical" provider in Kirtland Afb, New Mexico. His current practice location is
2050a 2nd St Se, Kirtland Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(817) 825-7662.
Dr Trevor G Gates-crandall is licensed to practice in Colorado (license number CSW.09927211) 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 1316982705.
Healthcare Provider's Profile
Full Name | Dr Trevor G Gates-crandall |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
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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: 1316982705
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729162839
- Enrollment ID: I20220722001367
Medical Identifiers
Medical identifiers for Dr Trevor G Gates-crandall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316982705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 27722 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 73080344 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09927211 (Colorado) | 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. Dr Trevor G Gates-crandall allows following entities to bill medicare on his behalf.
Entity Name | Colorado In-home Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093220006 PECOS PAC ID: 7214296409 Enrollment ID: O20180116001211 |
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Entity Name | Remind Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679216725 PECOS PAC ID: 3274907175 Enrollment ID: O20231109000638 |
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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 Trevor G Gates-crandall 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 Trevor G Gates-crandall, 1200 Gretta St Ne, Albuquerque, NM 87112-5556 Ph: () - | Dr Trevor G Gates-crandall, 2050a 2nd St Se, Kirtland Afb, NM 87117-2300 Ph: (817) 825-7662 |
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