Trevor Dane Annis, is a medicare enrolled "Ophthalmology" physician in Jbsa Ft Sam Houston, Texas. His current practice location is
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 220-7593.
Trevor Dane Annis is licensed to practice in Virginia (license number 0101273965) 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 1447886940.
Physician's Profile
| Full Name | Trevor Dane Annis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
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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: 1447886940
- Provider Enumeration Date: 03/16/2020
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466987680
- Enrollment ID: I20241125004394
Medical Identifiers
Medical identifiers for Trevor Dane Annis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447886940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 0101273965 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 0101273965 (Virginia) | Primary |
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. Trevor Dane Annis 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 |
|---|
Trevor Dane Annis,
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
Ph: (210) 292-6255 | Trevor Dane Annis,
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 220-7593 |
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