Mr Trevor Jerrod Fugate, AGACNP-BC in Lubbock, TX

Mr Trevor Jerrod Fugate, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Lubbock, Texas. His current practice location is 602 Indiana Ave, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 775-8200.

Mr Trevor Jerrod Fugate is licensed to practice in Texas (license number 1084498) 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 1972247195.

Contact Information

	Mr Trevor Jerrod Fugate, AGACNP-BC
	602 Indiana Ave, Lubbock, TX 79415-3364
	(806) 775-8200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Trevor Jerrod Fugate
Gender	Male
Speciality	Nurse Practitioner - Critical Care Medicine
Location	602 Indiana Ave, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972247195
Provider Enumeration Date: 04/25/2022
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8022488402
Enrollment ID: I20221229000502

Medical Identifiers

Medical identifiers for Mr Trevor Jerrod Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972247195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	885559 (Texas)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	1084498 (Texas)	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. Mr Trevor Jerrod Fugate allows following entities to bill medicare on his behalf.

Entity Name	University Medical Center Radiology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437170313 PECOS PAC ID: 4385538941 Enrollment ID: O20040212000864

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 Trevor Jerrod Fugate 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 Trevor Jerrod Fugate, AGACNP-BC 6914 96th St, Lubbock, TX 79424-8802 Ph: (806) 544-5185	Mr Trevor Jerrod Fugate, AGACNP-BC 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8200

Reviews and Comments

Nurse Practitioner Nurses in Lubbock, TX

Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388
Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Mr Trevor Jerrod Fugate, AGACNP-BC - Medicare Nurse Practitioner in Lubbock, TX