Dr Chris T Trevino, MD | |
41229 Highway 941, Gonzales, LA 70737-8206 | |
(225) 806-3397 | |
(225) 644-1423 |
Full Name | Dr Chris T Trevino |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 41229 Highway 941, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386650745 | NPI | - | NPPES |
5A536 | Other | LA | MEDICARE PTAN |
1698270 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 023255 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 023255 (Louisiana) | Primary |
Entity Name | C & M Medical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Entity Name | Ascension Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699118505 PECOS PAC ID: 9739320029 Enrollment ID: O20130730000082 |
Mailing Address | Practice Location Address |
---|---|
Dr Chris T Trevino, MD 41229 Highway 941, Gonzales, LA 70737-8206 Ph: (225) 806-3397 | Dr Chris T Trevino, MD 41229 Highway 941, Gonzales, LA 70737-8206 Ph: (225) 806-3397 |
Paul B Trisler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1125 W Highway 30, Gonzales, LA 70737 Phone: 817-451-4208 |