Angelica Revis, DO in Skokie, IL - Medicare Pediatrics

Angelica Revis, DO is a medicare enrolled "Pediatrics" physician in Skokie, Illinois. Her current practice location is 9977 Woods Dr, Skokie, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 663-8163.

Angelica Revis is licensed to practice in Illinois (license number 036169338) 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 1093393118.

Contact Information

	Angelica Revis, DO
	9977 Woods Dr, Skokie, IL 60077-1057
	(847) 663-8163
	Not Available

Map and Direction

Physician's Profile

Full Name	Angelica Revis
Gender	Female
Speciality	Pediatrics
Location	9977 Woods Dr, Skokie, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093393118
Provider Enumeration Date: 03/30/2021
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 4789026014
Enrollment ID: I20240531001181

Medical Identifiers

Medical identifiers for Angelica Revis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093393118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036169338 (Illinois)	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. Angelica Revis allows following entities to bill medicare on her behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Angelica Revis 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
Angelica Revis, DO 9977 Woods Dr, Skokie, IL 60077-1057 Ph: (847) 663-8163	Angelica Revis, DO 9977 Woods Dr, Skokie, IL 60077-1057 Ph: (847) 663-8163

Reviews and Comments

Pediatrics Doctors in Skokie, IL

Carly Stokar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3722 W Touhy Ave, Suite 101, Skokie, IL 60067 Phone: 312-227-2860
Dr. Michael Perry Rosenbaum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8163 Fax: 847-663-1024
Pauline Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183
Dr. Katherine L Shepherd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Ste 900, Skokie, IL 60076 Phone: 847-676-5394 Fax: 847-679-7183
Dr. James Joseph Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9631 Gross Point Rd, Suite 2, Skokie, IL 60076 Phone: 847-677-7250 Fax: 847-677-7251
Sun-bum Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Ste 403, Skokie, IL 60076 Phone: 847-674-4730 Fax: 847-674-4732

Angelica Revis, DO - Medicare Pediatrics in Skokie, IL