Trevan Dale Fischer, MD in Santa Monica, CA

Trevan Dale Fischer, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Santa Monica, California. He went to University Of Oklahoma 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 Providence Saint Johns Medical Foundation and his current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-8781.

Trevan Dale Fischer is licensed to practice in California (license number 135300) 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 1154580017.

Contact Information

	Trevan Dale Fischer, MD
	2121 Santa Monica Blvd, Santa Monica, CA 90404-2303
	(310) 829-8781
	(310) 582-7185

Map and Direction

Physician's Profile

Full Name	Trevan Dale Fischer
Gender	Male
Speciality	General Surgery
Experience	16 Years
Location	2121 Santa Monica Blvd, Santa Monica, California
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:

Trevan Dale Fischer attended and graduated from University Of Oklahoma College Of Medicine in 2008

NPI Data:

NPI Number: 1154580017
Provider Enumeration Date: 06/05/2008
Last Update Date: 04/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5496998106
Enrollment ID: I20170619001131

Medical Identifiers

Medical identifiers for Trevan Dale Fischer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154580017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	135300 (California)	Secondary
2086X0206X	Surgery - Surgical Oncology	135300 (California)	Primary
208600000X	Surgery	TRN12753 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Saint John's Health Center	Santa monica, CA	Hospital
St Joseph Hospital	Orange, CA	Hospital
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	273

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. Trevan Dale Fischer allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Trevan Dale Fischer 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
Trevan Dale Fischer, MD 2200 Santa Monica Blvd, Santa Monica, CA 90404-2312 Ph: () -	Trevan Dale Fischer, MD 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 Ph: (310) 829-8781

Reviews and Comments

Surgery Doctors in Santa Monica, CA

Stephen Louis Kuchenbecker, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 460 W, Santa Monica, CA 90404 Phone: 310-829-9400 Fax: 310-829-6764
Robert Eli Cole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 Wilshire Blvd, #302, Santa Monica, CA 90403 Phone: 310-829-4469 Fax: 310-829-0891
Dr. Janie Gia-lin Weng Grumley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-582-7100 Fax: 310-829-8914
Dr. Brian Eugene Kadera, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404 Phone: 310-393-3583 Fax: 310-394-5215
Hilary Rachel Keller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-8781 Fax: 310-582-7185
Edward Harry Livingston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404 Phone: 310-319-4080 Fax: 310-394-5215
Ian Taylor Macqueen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 15th St Ste 105, Santa Monica, CA 90404 Phone: 310-319-4080 Fax: 310-394-5215

Trevan Dale Fischer, MD - Medicare General Surgery in Santa Monica, CA