Trevor Fennell, in Ridgewood, NJ - Medicare Physical Therapy Provider

Trevor Fennell, is a medicare enrolled "Physical Therapist" provider in Ridgewood, New Jersey. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 127 Union St, Suite 105, Ridgewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 444-4447.

Trevor Fennell is licensed to practice in New Jersey (license number 40QA00907400) 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 1619904125.

Contact Information

	Trevor Fennell,
	127 Union St, Suite 105, Ridgewood, NJ 07450-4478
	(201) 444-4447
	(201) 444-5101

Map and Direction

Healthcare Provider's Profile

Full Name	Trevor Fennell
Gender	Male
Speciality	Physical Therapy
Experience	24 Years
Location	127 Union St, Ridgewood, New Jersey
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:

Trevor Fennell graduated from medical school in 2000

NPI Data:

NPI Number: 1619904125
Provider Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911958145
Enrollment ID: I20050531000256

Medical Identifiers

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

Identifier	Type	State	Issuer
1619904125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA00907400 (New Jersey)	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 Fennell allows following entities to bill medicare on his behalf.

Provider Name	Trevor Fennell Physical Therapy Corp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1598386096 PECOS PAC ID: 7911328539 Enrollment ID: O20200605001142

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 Fennell 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 Fennell, 127 Union St, Suite 105, Ridgewood, NJ 07450 Ph: (201) 444-4447	Trevor Fennell, 127 Union St, Suite 105, Ridgewood, NJ 07450-4478 Ph: (201) 444-4447

Reviews and Comments

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Trevor Fennell, - Medicare Physical Therapist in Ridgewood, NJ