Dr Ana Ruth Revilla, MD in Stockton, CA

Dr Ana Ruth Revilla, MD is a medicare enrolled "Pediatrics" physician in Stockton, California. Her current practice location is 701 E Channel St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 944-4700.

Dr Ana Ruth Revilla is licensed to practice in California (license number A81029) 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 1083792501.

Contact Information

	Dr Ana Ruth Revilla, MD
	701 E Channel St, Stockton, CA 95202-2628
	(209) 944-4700
	(209) 944-4727

Map and Direction

Physician's Profile

Full Name	Dr Ana Ruth Revilla
Gender	Female
Speciality	Pediatrics
Location	701 E Channel St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083792501
Provider Enumeration Date: 11/01/2006
Last Update Date: 01/30/2012

Medicare PECOS Information:

PECOS PAC ID: 5193789006
Enrollment ID: I20041118001159

Medical Identifiers

Medical identifiers for Dr Ana Ruth Revilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083792501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A81029 (California)	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. Dr Ana Ruth Revilla allows following entities to bill medicare on her behalf.

Entity Name	Scenic Faculty Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275559411 PECOS PAC ID: 3870487838 Enrollment ID: O20040210001195

Entity Name	Livingston Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427110329 PECOS PAC ID: 8820084692 Enrollment ID: O20040426000617

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. Dr Ana Ruth Revilla 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
Dr Ana Ruth Revilla, MD Po Box 779, Stockton, CA 95201-0779 Ph: (209) 373-2800	Dr Ana Ruth Revilla, MD 701 E Channel St, Stockton, CA 95202-2628 Ph: (209) 944-4700

Reviews and Comments

Pediatrics Doctors in Stockton, CA

Dr. Erica R Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207 Phone: 209-478-2622
Amparo Romero-hirahara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Davina Elvina Lopes De Menezes, Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-373-2859 Fax: 209-373-2873
John Arnel T. Macapinlac, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Daksha V. Vaid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2349 N California St, Stockton, CA 95204 Phone: 209-469-2229 Fax: 209-466-2436
Ange Mouttapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907

Dr Ana Ruth Revilla, MD - Medicare Pediatrics in Stockton, CA