Angela L Revercomb, in Henrico, VA - Medicare Counselor Provider

Angela L Revercomb, is a medicare enrolled "Counselor - Professional" provider in Henrico, Virginia. Her current practice location is 3111 Northside Ave Ste 375, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 229-3172.

Angela L Revercomb is licensed to practice in * (Not Available) (license number 071003714) 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 1700057825.

Contact Information

	Angela L Revercomb,
	3111 Northside Ave Ste 375, Henrico, VA 23228-5441
	(804) 229-3172
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela L Revercomb
Gender	Female
Speciality	Counselor - Professional
Location	3111 Northside Ave Ste 375, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700057825
Provider Enumeration Date: 03/17/2008
Last Update Date: 11/11/2019

Medicare PECOS Information:

PECOS PAC ID: 5597101428
Enrollment ID: I20240313002731

Medical Identifiers

Medical identifiers for Angela L Revercomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700057825	NPI	-	NPPES
1104858653	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	071003714 (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela L Revercomb allows following entities to bill medicare on her behalf.

Entity Name	Angela Revercomb Lpc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386405645 PECOS PAC ID: 1951747880 Enrollment ID: O20240313002669

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. Angela L Revercomb 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
Angela L Revercomb, 7901 Anoka Rd, Henrico, VA 23229-3305 Ph: (804) 229-3172	Angela L Revercomb, 3111 Northside Ave Ste 375, Henrico, VA 23228-5441 Ph: (804) 229-3172

Reviews and Comments

Counselor in Henrico, VA

Stacy Janell Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9039 W Broad St Ste 1, Henrico, VA 23294 Phone: 804-728-0088
Valerie Dalton Acosta, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11809 Willpage Pl, Henrico, VA 23233 Phone: 804-396-2585 Fax: 804-364-5678
Miss Nachelle Jenkins, M.S LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4837 Old Main St, Henrico, VA 23231 Phone: 804-269-3181
Elizabeth Kelly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10611 Patterson Ave, Henrico, VA 23238 Phone: 804-912-2947
Mr. Edward Curruth Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3108 N Parham Rd, Henrico, VA 23294 Phone: 804-508-0904
Fatima Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Highland Dr, Henrico, VA 23075 Phone: 804-661-9239
Laquita Shaunae Williams, LPC, CSOTP, SAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Westerre Pkwy, Henrico, VA 23233 Phone: 888-978-3801 Fax: 888-978-3802

Angela L Revercomb, - Medicare Counselor in Henrico, VA