Mr Kevin Peter Vergel De Dios Santos, FNP-C in Longview, TX

Mr Kevin Peter Vergel De Dios Santos, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Longview, Texas. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Christus Trinity Clinic and his current practice location is 703 E Marshall Ave Ste 1001, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 753-7291.

Mr Kevin Peter Vergel De Dios Santos is licensed to practice in Texas (license number 1017594) 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 1831843044.

Contact Information

	Mr Kevin Peter Vergel De Dios Santos, FNP-C
	703 E Marshall Ave Ste 1001, Longview, TX 75601-5500
	(903) 753-7291
	(903) 315-5000

Map and Direction

Provider's Profile

Full Name	Mr Kevin Peter Vergel De Dios Santos
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	703 E Marshall Ave Ste 1001, Longview, Texas
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 Kevin Peter Vergel De Dios Santos graduated from nursing school in 2020

NPI Data:

NPI Number: 1831843044
Provider Enumeration Date: 02/07/2022
Last Update Date: 05/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9638565328
Enrollment ID: I20220405003172

Medical Identifiers

Medical identifiers for Mr Kevin Peter Vergel De Dios Santos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831843044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1017594 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1017594 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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 Kevin Peter Vergel De Dios Santos allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Kevin Peter Vergel De Dios Santos 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 Kevin Peter Vergel De Dios Santos, FNP-C 2115 Waunell Dr, Tyler, TX 75701-4863 Ph: (903) 830-0766	Mr Kevin Peter Vergel De Dios Santos, FNP-C 703 E Marshall Ave Ste 1001, Longview, TX 75601-5500 Ph: (903) 753-7291

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Mr Kevin Peter Vergel De Dios Santos, FNP-C - Medicare Nurse Practitioner in Longview, TX