Trevor Huckaby, is a medicare enrolled "Nurse Practitioner - Family" in Caryville, Tennessee. His current practice location is
140 John Mcghee Blvd, Caryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 647-3230.
Trevor Huckaby is licensed to practice in Tennessee (license number APN29141) 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 1447878699.
Provider's Profile
| Full Name | Trevor Huckaby |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 140 John Mcghee Blvd, Caryville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447878699
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 10/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507274784
- Enrollment ID: I20210428001684
Medical Identifiers
Medical identifiers for Trevor Huckaby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447878699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN29141 (Tennessee) | 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 Huckaby allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003345 |
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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. Trevor Huckaby 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 |
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Trevor Huckaby,
140 John Mcghee Blvd,
Caryville, TN 37714-3155
Ph: (865) 647-3230 | Trevor Huckaby,
140 John Mcghee Blvd,
Caryville, TN 37714-3155
Ph: (865) 647-3230 |
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