Dr Andrew Joel Revelle, DO is a medicare enrolled "Hospitalist" physician in Osage Beach, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lake Regional Health System and his current practice location is
54 Hospital Dr, Osage Beach, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 302-2287.
Dr Andrew Joel Revelle is licensed to practice in Missouri (license number 2015013067) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528314275.
Physician's Profile
| Full Name | Dr Andrew Joel Revelle |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 54 Hospital Dr, Osage Beach, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andrew Joel Revelle attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2012
NPI Data:
- NPI Number: 1528314275
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 06/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244465490
- Enrollment ID: I20150612001273
Medical Identifiers
Medical identifiers for Dr Andrew Joel Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528314275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RB0002X | Internal Medicine - Obesity Medicine | ED0312A (West Virginia) | Secondary |
| 207R00000X | Internal Medicine | 2015013067 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2015013067 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lake Regional Health System | 9133026776 | 80 |
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 Andrew Joel Revelle allows following entities to bill medicare on his behalf.
| Entity Name | Lake Regional Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147 |
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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. Dr Andrew Joel Revelle 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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Dr Andrew Joel Revelle, DO
Po Box 1500,
Osage Beach, MO 65065-1500
Ph: () - | Dr Andrew Joel Revelle, DO
54 Hospital Dr,
Osage Beach, MO 65065-3050
Ph: (573) 302-2287 |
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