Russell Trevena, MD in Stockbridge, GA - Medicare Pediatrics

Russell Trevena, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Stockbridge, Georgia. His current practice location is 1510 Hudson Bridge Rd, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 785-8660.

Russell Trevena is licensed to practice in Georgia (license number 39251) 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 1679505762.

Contact Information

	Russell Trevena, MD
	1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020
	(404) 785-8660
	(404) 785-8730

Physician's Profile

Full Name	Russell Trevena
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	1510 Hudson Bridge Rd, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679505762
Provider Enumeration Date: 07/07/2006
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3678657541
Enrollment ID: I20180630000040

Medical Identifiers

Medical identifiers for Russell Trevena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679505762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	39251 (Georgia)	Primary

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. Russell Trevena 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
Russell Trevena, MD 1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020 Ph: (404) 785-8660	Russell Trevena, MD 1510 Hudson Bridge Rd, Stockbridge, GA 30281-5020 Ph: (404) 785-8660

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Pediatrics Doctors in Stockbridge, GA

Juan A Lama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Suite B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973
Ronald Allen Ligon Jr., M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593
Dr. Steven W Leard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281 Phone: 678-289-0103 Fax: 678-289-0171
Dr. Matthew Edward Oster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281 Phone: 404-256-2593
Lankala Rajendra Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Medical Blvd, Ste B, Stockbridge, GA 30281 Phone: 770-389-9944 Fax: 770-389-1973
Dr. Patrick Neal Pulliam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Country Club Dr Bldg 200a, Stockbridge, GA 30281 Phone: 770-389-4543 Fax: 770-474-0566
David W Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281 Phone: 678-289-1988 Fax: 678-289-1512

Russell Trevena, MD - Medicare Pediatrics in Stockbridge, GA