Mr Joe Douglas Revis Jr, LCSW in Rutherfordton, NC - Medicare Clinical Social Worker Provider

Mr Joe Douglas Revis Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rutherfordton, North Carolina. He graduated from medical school in 1985 and has 40 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Blue Ridge Hope and his current practice location is 356 Charlotte Rd, Rutherfordton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 287-7945.

Mr Joe Douglas Revis Jr is licensed to practice in North Carolina (license number C006046) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1174174601.

Contact Information

	Mr Joe Douglas Revis Jr, LCSW
	356 Charlotte Rd, Rutherfordton, NC 28139-2916
	(828) 287-7945
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Joe Douglas Revis Jr
Gender	Male
Speciality	Clinical Social Worker
Experience	40 Years
Location	356 Charlotte Rd, Rutherfordton, North Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Joe Douglas Revis Jr graduated from medical school in 1985

NPI Data:

NPI Number: 1174174601
Provider Enumeration Date: 09/25/2019
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7517390818
Enrollment ID: I20191126003233

Medical Identifiers

Medical identifiers for Mr Joe Douglas Revis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174174601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C006046 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Hope	8921473190	5

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. Mr Joe Douglas Revis Jr allows following entities to bill medicare on his behalf.

Entity Name	Solid Foundations Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396297545 PECOS PAC ID: 5597185157 Enrollment ID: O20201020002272

Entity Name	Blue Ridge Hope
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104440726 PECOS PAC ID: 8921473190 Enrollment ID: O20230401000035

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. Mr Joe Douglas Revis Jr 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
Mr Joe Douglas Revis Jr, LCSW 311 General Griffith Cir, Rutherfordton, NC 28139-9273 Ph: (828) 429-8620	Mr Joe Douglas Revis Jr, LCSW 356 Charlotte Rd, Rutherfordton, NC 28139-2916 Ph: (828) 287-7945

Reviews and Comments

Social Worker in Rutherfordton, NC

Joyce Marie Martin, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 431 S Main St Ste 3, Rutherfordton, NC 28139 Phone: 866-700-1606 Fax: 866-338-5921
Hannah Leary Poe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 182 W Court St, Rutherfordton, NC 28139 Phone: 704-487-4000
Ms. Alicsya Barringer, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 Charlotte Rd, Rutherfordton, NC 28139 Phone: 828-287-7945
David Banning Hislop, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 John C Logan Rd, Rutherfordton, NC 28139 Phone: 843-597-3465
Ms. Charlotte Patricia Whitaker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 516 Maple Creek Rd, Rutherfordton, NC 28139 Phone: 828-980-0855 Fax: 828-328-0171
Cynthia Johnson Snyder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 N Main St, Rutherfordton, NC 28139 Phone: 828-287-7945

Mr Joe Douglas Revis Jr, LCSW - Medicare Clinical Social Worker in Rutherfordton, NC