Dr Mary L Trevino, PHD is a medicare enrolled "Psychologist - Health Service" provider in Seguin, Texas. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
261 Turtle Ln, Seguin, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 250-1298.
Dr Mary L Trevino is licensed to practice in Texas (license number 11530) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1851428957.
Healthcare Provider's Profile
| Full Name | Dr Mary L Trevino |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 33 Years |
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| Location | 261 Turtle Ln, Seguin, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary L Trevino graduated from medical school in 1991
NPI Data:
- NPI Number: 1851428957
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 03/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 8820069370
- Enrollment ID: I20040809000457
Medical Identifiers
Medical identifiers for Dr Mary L Trevino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851428957 | NPI | - | NPPES |
| 166851902 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TH0100X | Psychologist - Health Service | 11530 (Texas) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 11530 (Texas) | Secondary |
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. Dr Mary L Trevino allows following entities to bill medicare on her behalf.
| Entity Name | Autumn View Alliance, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821283177
PECOS PAC ID: 6901936103
Enrollment ID: O20100615000499 |
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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. Dr Mary L Trevino 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 |
|---|
Dr Mary L Trevino, PHD
261 Turtle Ln,
Seguin, TX 78155-3142
Ph: (210) 250-1298 | Dr Mary L Trevino, PHD
261 Turtle Ln,
Seguin, TX 78155-3142
Ph: (210) 250-1298 |
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