Trina S Cormack, M.D
Individual provider Active NPI Psychiatry Physician · Big Spring, TX
NPI 1891718755 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1891718755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- K2150 (TX)
- Practice address
- 1901 North Hwy 87
Big Spring, TX 79720 - Phone
- (409) 789-5343
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Texas Tech University Health Science Center School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health and Human Services Commission
Practice addresses (Care Compare)
11640 US Hwy 87 N
Carlsbad, TX 76934-7000
Phone (325) 465-2526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720001049 | TX | Practitioner - Psychiatry |
0840270054 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current |
Accepting new patients | |
| Health and Human Services Commission | Psychiatry | Current |
Accepting new patients |
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| The Gulf Coast Center | Psychiatry | Past |
Accepting new patients |
| Health and Human Services Commission | Past | Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312
1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000
1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000
805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201
1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K2150 | TX | Yes |
Addresses
Primary practice location
1901 North Hwy 87
Big Spring, TX 79720
Mailing address
5709 Fruitland Farm Rd
San Angelo, TX 76903-1042
Phone (409) 789-5343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117746105 | Medicaid | TX |
Other providers in Big Spring, TX
- Denys Coates
- Heberto Cofresi
- Ana Collazo
- Connect2Speech, LLC
- Thomas W Cooper
- Jason Loren Cornish
- Steve Merl Corson
- Covenant Care Center of Big Spring LLC Mountainview Lodge
- Covenant Care Center of Big Spring, LLC
- Rochelle Crow
All providers in Big Spring, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.