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Trevor Lee Reeves

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900

PECOS Enrollment

This provider is enrolled in PECOS as TREVOR REEVES.

Based on the most recent information from CMS, provider Trevor Lee Reeves is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1487179404
Provider Type
Individual
Full Name
Reeves, Trevor Lee
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/10/2017
Last Updated
1/31/2019

Contact Information

Practice Location

1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900

(253) 761-4200

(253) 761-4201

Mailing Location

PO Box 1535, Tacoma, WA 98401-1535

(253) 761-4200

(253) 383-3553

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60911280 Washington

Trevor Lee Reeves

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Denty, Sara Diane

Wambuzi, Selemani E

Moore, Douglas Bernard

Meyer, Joshua Scott

Nguyen, Joanna Le

Puett, Leonard Robert

Garrett, Leisa S

Somasundaram, Soundarya

Flamoe, Michael Jon

Zapatka, Jaryd