Dr Rogelio Trevino, MD | |
103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 | |
(512) 869-4800 | |
(512) 868-8801 |
Full Name | Dr Rogelio Trevino |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 103 Thousand Oaks Blvd, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477682938 | NPI | - | NPPES |
201408601 | Medicaid | TX | |
201408602 | Medicaid | TX | |
284059YLPS | Other | TX | WELLMED PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M7706 (Texas) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | M7706 (Texas) | Secondary |
Entity Name | Ascend Medical Austin Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366015794 PECOS PAC ID: 1850788894 Enrollment ID: O20220421002445 |
Mailing Address | Practice Location Address |
---|---|
Dr Rogelio Trevino, MD 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 Ph: (512) 869-4800 | Dr Rogelio Trevino, MD 103 Thousand Oaks Blvd, Georgetown, TX 78628-8757 Ph: (512) 869-4800 |
Dr. Suja Maria Sabastin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 Fax: 512-509-9555 | |
Kathryn Drake Hart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 W University Ave, Georgetown, TX 78626 Phone: 512-509-9550 | |
Dr. Thomas Charles Bohmfalk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 S Austin Ave Ste 210, Georgetown, TX 78626 Phone: 513-763-4000 Fax: 512-930-4946 | |
William Robert Umstattd, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3008 Dawn Dr, Suite 201, Georgetown, TX 78628 Phone: 512-863-4596 Fax: 512-863-4676 | |
Mr. Richard C Male Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-869-5616 | |
Dr. Katherine Marie Vega, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1821 Westinghouse Rd Ste 1190, Georgetown, TX 78626 Phone: 512-348-6399 | |
Dr. Ann Louise Nolen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7600 Highway 29 W, Suite 5, Georgetown, TX 78628 Phone: 512-930-0363 Fax: 512-930-0371 |