Luis A Trujillo, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Gladwin, Michigan. His current practice location is
515 Quarter St, Gladwin, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 426-9286.
Luis A Trujillo is licensed to practice in Michigan (license number 071407) 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 1821042094.
Physician's Profile
| Full Name | Luis A Trujillo |
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| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 515 Quarter St, Gladwin, Michigan |
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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: 1821042094
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 04/20/2010
Medicare PECOS Information:
- PECOS PAC ID: 7214961564
- Enrollment ID: I20050926000623
Medical Identifiers
Medical identifiers for Luis A Trujillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821042094 | NPI | - | NPPES |
| 0106510712 | Other | MI | BLUE SHIELD |
| 1821042094 | Medicaid | MI | |
| 4769870 | Medicaid | MI | |
| 0F71000 | Other | MI | BCBS |
| LT071407 | Other | MI | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 071407 (Michigan) | Primary |
| 208M00000X | Hospitalist | 071407 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4301071407 (Michigan) | 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. Luis A Trujillo allows following entities to bill medicare on his behalf.
| Entity Name | Northern Michigan Emergency Physicians, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417972183
PECOS PAC ID: 7113910399
Enrollment ID: O20040405000871 |
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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. Luis A 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 |
|---|
Luis A Trujillo, MD
2510 Abbott Rd,
Midland, MI 48642-5006
Ph: () - | Luis A Trujillo, MD
515 Quarter St,
Gladwin, MI 48624-1959
Ph: (989) 426-9286 |
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