Mr Trevor James Mathis, MD is a medicare enrolled "Surgery" physician in Vernal, Utah. He went to Ohio State University College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ashley Valley Physician Practice Llc and his current practice location is
150 W 100 N Ste 102-s, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 781-2161.
Mr Trevor James Mathis is licensed to practice in Utah (license number 8568487-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205008844.
Physician's Profile
Full Name | Mr Trevor James Mathis |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 16 Years |
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Location | 150 W 100 N Ste 102-s, Vernal, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Trevor James Mathis attended and graduated from Ohio State University College Of Medicine in 2008
NPI Data:
- NPI Number: 1205008844
- Provider Enumeration Date: 03/24/2008
- Last Update Date: 08/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 2264675644
- Enrollment ID: I20130904000561
Medical Identifiers
Medical identifiers for Mr Trevor James Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205008844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 8568487-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ashley Valley Physician Practice Llc | 4284683947 | 14 |
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. Mr Trevor James Mathis allows following entities to bill medicare on his behalf.
Entity Name | Ashley Valley Physician Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740482025 PECOS PAC ID: 4284683947 Enrollment ID: O20050119001166 |
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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. Mr Trevor James Mathis 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 |
Mr Trevor James Mathis, MD 150 W 100 N Ste 102-s, Vernal, UT 84078-2036 Ph: (435) 781-2161 | Mr Trevor James Mathis, MD 150 W 100 N Ste 102-s, Vernal, UT 84078-2036 Ph: (435) 781-2161 |
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