Trent J Tate, OD in Nellis Afb, NV - Medicare Optometrist Provider

Trent J Tate, OD is a medicare enrolled "Optometrist" provider in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-3010.

Trent J Tate is licensed to practice in Pennsylvania (license number OEG001219) 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 1073593513.

Contact Information

	Trent J Tate, OD
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-3010
	Not Available

Healthcare Provider's Profile

Full Name	Trent J Tate
Gender	Male
Speciality	Optometrist
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073593513
Provider Enumeration Date: 01/19/2006
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3173903945
Enrollment ID: I20220711002272

Medical Identifiers

Medical identifiers for Trent J Tate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073593513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG001219 (Pennsylvania)	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. Trent J Tate 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
Trent J Tate, OD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3010	Trent J Tate, OD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3010

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Optometrist in Nellis Afb, NV

Family Focused Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 5691 Rickenbacker Rd, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682
Dr. Vorapas Thunyalukul, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5691 Rickenbacker Rd, Bx Mall Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682
Safe Co-management Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5691 Rickenbacker Rd Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682
Dr. Conrad Lochner Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5691 Rickenbacker Rd, Bx Mall, Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682
Adam B Klemens, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3010
Elevated Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5691 Rickenbacker Rd, Nellis Afb, NV 89191 Phone: 626-716-4935

Trent J Tate, OD - Medicare Optometrist in Nellis Afb, NV