Revolution Medical Centers Pllc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Jonesboro, Arkansas. Their current practice location is
1306 S Caraway Road, Jonesboro, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 203-9269.
Revolution Medical Centers Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revolution Medical Centers Pllc
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 1952037590.
Healthcare Provider's Profile
| Full Name | Revolution Medical Centers Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1306 S Caraway Road, Jonesboro, Arkansas |
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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: 1952037590
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133590490
- Enrollment ID: O20230327001598
Medical Identifiers
Medical identifiers for Revolution Medical Centers Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952037590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Revolution Medical Centers Pllc acts as a billing entity for following providers:
| Provider Name | Dane Howard Flippin |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1770531766
PECOS PAC ID: 8224025663
Enrollment ID: I20041012001259 |
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| Provider Name | Jason D Inman |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1598310112
PECOS PAC ID: 5991138588
Enrollment ID: I20191212002451 |
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| Provider Name | Shana Hessling |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1225768443
PECOS PAC ID: 9537530696
Enrollment ID: I20230127001166 |
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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. Revolution Medical Centers Pllc 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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Revolution Medical Centers Pllc
1306 S Caraway Road,
Jonesboro, AR 72401
Ph: () - | Revolution Medical Centers Pllc
1306 S Caraway Road,
Jonesboro, AR 72401
Ph: (870) 203-9269 |
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