Benjamin Trujillo, is a medicare enrolled "Nurse Practitioner - Family" physician in Lubbock, Texas. His current practice location is
3702 21st St, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 795-2751.
Benjamin Trujillo is licensed to practice in Texas (license number AP143973) 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 1699358200.
Physician's Profile
| Full Name | Benjamin Trujillo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3702 21st St, Lubbock, Texas |
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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: 1699358200
- Provider Enumeration Date: 05/02/2021
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476906991
- Enrollment ID: I20240131001859
Medical Identifiers
Medical identifiers for Benjamin Trujillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699358200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AP143973 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP143973 (Texas) | 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. Benjamin Trujillo allows following entities to bill medicare on his behalf.
| Entity Name | Covenant Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376598904
PECOS PAC ID: 6901889393
Enrollment ID: O20040608000563 |
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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. Benjamin Trujillo 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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Benjamin Trujillo,
5510 79th St,
Lubbock, TX 79424-2606
Ph: (806) 778-7830 | Benjamin Trujillo,
3702 21st St,
Lubbock, TX 79410-1299
Ph: (806) 795-2751 |
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