Trevan Dale Fischer, MD - Medicare General Surgery in Santa Monica, CA

Trevan Dale Fischer, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Santa Monica, California. He went to University Of Oklahoma College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-8781.

Trevan Dale Fischer is licensed to practice in California (license number 135300) 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 1154580017.

Contact Information

Trevan Dale Fischer, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303
(310) 829-8781
(310) 582-7185



Physician's Profile

Full NameTrevan Dale Fischer
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location2121 Santa Monica Blvd, Santa Monica, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Trevan Dale Fischer attended and graduated from University Of Oklahoma College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1154580017
  • Provider Enumeration Date: 06/05/2008
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496998106
  • Enrollment ID: I20170619001131

Medical Identifiers

Medical identifiers for Trevan Dale Fischer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154580017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 135300 (California)Secondary
2086X0206XSurgery - Surgical Oncology 135300 (California)Primary
208600000XSurgery TRN12753 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital
St Joseph HospitalOrange, CAHospital
St Jude Medical CenterFullerton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315

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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. Trevan Dale Fischer allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

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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. Trevan Dale Fischer 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
Trevan Dale Fischer, MD
2200 Santa Monica Blvd,
Santa Monica, CA 90404-2312

Ph: () -
Trevan Dale Fischer, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303

Ph: (310) 829-8781

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Surgery Doctors in Santa Monica, CA

Stephen Louis Kuchenbecker,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Santa Monica Blvd, 460 W, Santa Monica, CA 90404
Phone: 310-829-9400    Fax: 310-829-6764
Robert Eli Cole, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Wilshire Blvd, #302, Santa Monica, CA 90403
Phone: 310-829-4469    Fax: 310-829-0891
Dr. Janie Gia-lin Weng Grumley, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 310-582-7100    Fax: 310-829-8914
Dr. Brian Eugene Kadera, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404
Phone: 310-393-3583    Fax: 310-394-5215
Hilary Rachel Keller, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 310-829-8781    Fax: 310-582-7185
Edward Harry Livingston, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1304 15th St Ste 102, Santa Monica, CA 90404
Phone: 310-319-4080    Fax: 310-394-5215
Ian Taylor Macqueen, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1304 15th St Ste 105, Santa Monica, CA 90404
Phone: 310-319-4080    Fax: 310-394-5215

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