Dr Trevor Daniel Richmond, DMD in Dunlap, IL

Dr Trevor Daniel Richmond, DMD is a medicare enrolled "Dentist - Periodontics" provider in Dunlap, Illinois. His current practice location is 11825 N Knoxville Ave, Dunlap, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 740-3901.

Dr Trevor Daniel Richmond is licensed to practice in Illinois (license number 021.003328) 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 1033735089.

Contact Information

	Dr Trevor Daniel Richmond, DMD
	11825 N Knoxville Ave, Dunlap, IL 61525-8842
	(309) 740-3901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Trevor Daniel Richmond
Gender	Male
Speciality	Dentist - Periodontics
Location	11825 N Knoxville Ave, Dunlap, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033735089
Provider Enumeration Date: 06/24/2020
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5991175630
Enrollment ID: I20221221002021

Medical Identifiers

Medical identifiers for Dr Trevor Daniel Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033735089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	021.003328 (Illinois)	Primary
122300000X	Dentist	019.032728 (Illinois)	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 Trevor Daniel Richmond allows following entities to bill medicare on his behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228

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 Daniel Richmond 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 Daniel Richmond, DMD 7713 S Stranz Rd, Mapleton, IL 61547-9412 Ph: (309) 431-1512	Dr Trevor Daniel Richmond, DMD 11825 N Knoxville Ave, Dunlap, IL 61525-8842 Ph: (309) 740-3901

Reviews and Comments

Dentist in Dunlap, IL

Dr. Rodney Earl Willey, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 11825 State Route 40, Suite 100, Dunlap, IL 61525 Phone: 309-243-8980
Dr. George M. Duncan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40, Suite 100, Dunlap, IL 61525 Phone: 309-243-8980 Fax: 309-243-8983
Dr. Erin Patrick Shanahan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40, Dunlap, IL 61525 Phone: 309-243-7702 Fax: 309-243-8188
Nizar N Merheb, Dentist Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40, Dunlap, IL 61525 Phone: 309-243-8980

Dr Trevor Daniel Richmond, DMD - Medicare Dentist in Dunlap, IL