DR. TREVOR D. TREDENNICK M.D. - NPI 1649264052 - Emergency Medicine in Emmett, ID

Q: What is Trevor Tredennick's NPI number?

The NPI number for Trevor Tredennick is 1649264052. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Q: What is Trevor Tredennick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Tredennick was last updated on December 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Trevor D. Tredennick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR D. TREDENNICK M.D. (NPI 1649264052) is an individual emergency medicine provider in Emmett, Idaho, licensed in Illinois (036-112632) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649264052

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. TREVOR D. TREDENNICKCredential: M.D.

Location Address1202 E LOCUST STEmmett, ID 83617-2715

Mailing Address1202 E Locust StEmmett, ID 83617-2715 · (208) 365-3561

Phone(208) 365-3561

Sole ProprietorNo

Enumeration DateAugust 31, 2005

Last NPPES UpdateDecember 9, 2022

NPPES CertifiedDecember 9, 2022

✔ NPI 1649264052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-112632

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1202 E LOCUST ST, Emmett, ID 83617

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Other Identifiers 2

Medicaid8420713WA

Medicaid036-112632IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trevor D. Tredennick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER KNOX MEMORIAL HOSPITAL

General Acute Care Hospital (Critical Access)