Trevor Andrew Samol, CRNP in Erie, PA - Medicare Nurse Practitioner

Trevor Andrew Samol, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Erie, Pennsylvania. His current practice location is 5515 Peach St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 464-4031.

Trevor Andrew Samol is licensed to practice in Pennsylvania (license number SP023001) 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 1700532892.

Contact Information

	Trevor Andrew Samol, CRNP
	5515 Peach St, Erie, PA 16509-2603
	(814) 464-4031
	Not Available

Map and Direction

Provider's Profile

Full Name	Trevor Andrew Samol
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5515 Peach St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700532892
Provider Enumeration Date: 02/27/2022
Last Update Date: 02/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9133505803
Enrollment ID: I20221004000349

Medical Identifiers

Medical identifiers for Trevor Andrew Samol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700532892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP023001 (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. Trevor Andrew Samol allows following entities to bill medicare on his behalf.

Entity Name	Medical Associates Of Erie
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649205816 PECOS PAC ID: 2769402783 Enrollment ID: O20051205000786

Entity Name	Millcreek Community Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245865815 PECOS PAC ID: 8426020173 Enrollment ID: O20200617000674

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 Andrew Samol 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 Andrew Samol, CRNP 3021 Hidden Ln, Erie, PA 16506-1529 Ph: (814) 460-4097	Trevor Andrew Samol, CRNP 5515 Peach St, Erie, PA 16509-2603 Ph: (814) 464-4031

Reviews and Comments

Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850

Trevor Andrew Samol, CRNP - Medicare Nurse Practitioner in Erie, PA