Janet Lee Revelle, AUD is a medicare enrolled "Audiologist" provider in Galloway, New Jersey. Her current practice location is
436 Chris Gaupp Dr, Galloway, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 748-5370.
Janet Lee Revelle is licensed to practice in New Jersey (license number 41YA00010900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164945366.
Healthcare Provider's Profile
| Full Name | Janet Lee Revelle |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 436 Chris Gaupp Dr, Galloway, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164945366
- Provider Enumeration Date: 07/19/2017
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951766112
- Enrollment ID: I20230424001492
Medical Identifiers
Medical identifiers for Janet Lee Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164945366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 41YA00010900 (New Jersey) | Primary |
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. Janet Lee Revelle allows following entities to bill medicare on her behalf.
| Provider Name | Atlanticare Physician Group Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405 |
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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. Janet Lee Revelle 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 |
|---|
Janet Lee Revelle, AUD
3600 Route, 3rd Floor,
Neptune, NJ 07753
Ph: (732) 807-0800 | Janet Lee Revelle, AUD
436 Chris Gaupp Dr,
Galloway, NJ 08205-4487
Ph: (609) 748-5370 |
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