Alexandra Trevino, PA-C is a medicare enrolled "Physician Assistant" in La Grange Park, Illinois. Her current practice location is
321 N La Grange Rd, La Grange Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 745-5277.
Alexandra Trevino is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508235268.
Provider's Profile
Full Name | Alexandra Trevino |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 321 N La Grange Rd, La Grange Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508235268
- Provider Enumeration Date: 09/23/2015
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799094405
- Enrollment ID: I20151020002861
Medical Identifiers
Medical identifiers for Alexandra Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508235268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Alexandra Trevino 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 |
Alexandra Trevino, PA-C 5220 East Ave, Countryside, IL 60525-3133 Ph: (087) 455-2777 | Alexandra Trevino, PA-C 321 N La Grange Rd, La Grange Park, IL 60526-5622 Ph: (708) 745-5277 |
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