Justin Trunzo, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Coal Center, Pennsylvania. His current practice location is
300 Technology Dr, Coal Center, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 223-1067.
Justin Trunzo is licensed to practice in Pennsylvania (license number SP019475) 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 1417424276.
Provider's Profile
Full Name | Justin Trunzo |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 300 Technology Dr, Coal Center, Pennsylvania |
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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: 1417424276
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 10/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416294657
- Enrollment ID: I20190128000146
Medical Identifiers
Medical identifiers for Justin Trunzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417424276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP019475 (Pennsylvania) | Primary |
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. Justin Trunzo allows following entities to bill medicare on his behalf.
Entity Name | Washington Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316917669 PECOS PAC ID: 6103719562 Enrollment ID: O20040209000011 |
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Entity Name | Centerville Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
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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. Justin Trunzo 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 |
Justin Trunzo, CRNP 738 Scenic Dr, Houston, PA 15342-1238 Ph: () - | Justin Trunzo, CRNP 300 Technology Dr, Coal Center, PA 15423-1065 Ph: (724) 223-1067 |
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