Revive Health Associates, Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Tampa, Florida. Their current practice location is
410 S Ware Blvd Ste 828, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 419-1399.
Revive Health Associates, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revive Health Associates, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1285204990.
Healthcare Provider's Profile
| Full Name | Revive Health Associates, Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 410 S Ware Blvd Ste 828, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285204990
- Provider Enumeration Date: 06/26/2021
- Last Update Date: 06/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658775358
- Enrollment ID: O20210803001070
Medical Identifiers
Medical identifiers for Revive Health Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285204990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Revive Health Associates, Llc acts as a billing entity for following providers:
| Provider Name | Rajnarine Roopnarine |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1336442466
PECOS PAC ID: 1658643564
Enrollment ID: I20210803001541 |
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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. Revive Health Associates, Llc 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 |
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Revive Health Associates, Llc
410 S Ware Blvd Ste 828,
Tampa, FL 33619-4469
Ph: (813) 419-1399 | Revive Health Associates, Llc
410 S Ware Blvd Ste 828,
Tampa, FL 33619-4469
Ph: (813) 419-1399 |
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