Benjamin Trujillo, - Medicare Nurse Practitioner in Lubbock, TX

Benjamin Trujillo, is a medicare enrolled "Nurse Practitioner - Family" physician in Lubbock, Texas. His current practice location is 3702 21st St, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 795-2751.

Benjamin Trujillo is licensed to practice in Texas (license number AP143973) 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 1699358200.

Contact Information

Benjamin Trujillo,
3702 21st St,
Lubbock, TX 79410-1299
(806) 795-2751
Not Available



Physician's Profile

Full NameBenjamin Trujillo
GenderMale
SpecialityNurse Practitioner - Family
Location3702 21st St, Lubbock, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699358200
  • Provider Enumeration Date: 05/02/2021
  • Last Update Date: 02/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476906991
  • Enrollment ID: I20240131001859

Medical Identifiers

Medical identifiers for Benjamin Trujillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699358200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AP143973 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP143973 (Texas)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. Benjamin Trujillo allows following entities to bill medicare on his behalf.
Entity NameCovenant Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376598904
PECOS PAC ID: 6901889393
Enrollment ID: O20040608000563

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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. Benjamin Trujillo 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 AddressPractice Location Address
Benjamin Trujillo,
5510 79th St,
Lubbock, TX 79424-2606

Ph: (806) 778-7830
Benjamin Trujillo,
3702 21st St,
Lubbock, TX 79410-1299

Ph: (806) 795-2751

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