MR. TREVOR TICE PA-C
NPI 1245097799
Physician Assistant - Medical in Arlington, TX
NPI Status: Active since March 01, 2024
Contact Information
400 W ARBROOK BLVD STE 320
ARLINGTON, TX
ZIP 76014
Phone: (866) 552-4866
- Individual
- Male
- Years of Experience 2
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TREVOR TICE
This page provides the complete NPI Profile along with additional information for Trevor Tice, a primary care provider established in Arlington, Texas with a medical specialization in Physician Assistant, focusing in medical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1245097799 assigned on March 2024. The practitioner's primary taxonomy code is 363AM0700X with license number PA17968 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1245097799
- Provider Name
- MR. TREVOR TICE PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 400 W ARBROOK BLVD STE 320 ARLINGTON, TX 76014
- Location Phone
- (866) 552-4866
- Mailing Address
- 12221 MERIT DR STE 620 DALLAS, TX 75251
- Mailing Phone
- (866) 552-4866
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2024
- Last Update Date
- 01-09-2025
- Code Navigator
A primary care provider (PCP) like Trevor Tice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 2701 S Hampton Rd Ste 220B
Dallas, TX 75224
(866) 552-4866 - 800 Medical Center Dr
Decatur, TX 76234
(940) 626-2110 - 512 W Bonds Ranch Rd Ste 150
Fort Worth, TX 76131
(866) 552-4866 - 4616 US Hwy 75 Ste 170
Denison, TX 75020
(866) 552-4866 - 17051 Dallas Pkwy Ste 220
Addison, TX 75001
(866) 552-4866 - 8080 State Highway 121 Ste 200
McKinney, TX 75070
(866) 552-4866 - 3400 Interstate Highway 30 Ste 180
Mesquite, TX 75150
(866) 552-4866 - 4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028
(866) 552-4866 - 6149 Windhaven Pkwy Ste 130
Plano, TX 75093
(866) 552-4866 - 2777 E Southlake Blvd Ste 140
Southlake, TX 76092
(866) 552-4866 - 1030 S Coit Rd Ste A
Prosper, TX 75078
(866) 552-4866 - 2101 Westpark Ct Ste 320
Euless, TX 76040
(866) 552-4866 - 4450 Sojourn Dr Ste 200
Addison, TX 75001
(866) 552-4866
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA17968
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Trevor Tice is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Trevor Tice is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6305288010
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240528000635
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 0 | 9 | 7 | 7 | 9 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 0 | 9 | 14 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 0 + 9 + 1 + 4 + 7 + 1 + 8 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1245097799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1356775183 | URVIL M PATEL APNP Individual | Nurse Practitioner (Acute Care) | 400 W ARBROOK BLVD STE 320 ARLINGTON, TX 76014 (866) 552-4866 |
1881361889 | SCOTT DAVID KELLER NP Individual | Nurse Practitioner (Acute Care) | 400 W ARBROOK BLVD STE 320 ARLINGTON, TX 76014 (866) 552-4866 |
1912354770 | MINA TAWFIK MD Individual | Surgery (Vascular Surgery) | 400 W ARBROOK BLVD STE 320 ARLINGTON, TX 76014 (214) 382-3200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245097799, enumerated in the NPI registry as an "individual" on March 01, 2024
The provider is located at 400 W Arbrook Blvd Ste 320 Arlington, Tx 76014 and the phone number is (866) 552-4866
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 2 years of experience.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 01, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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