Michael Allen Revelle, MD - Medicare Emergency Medicine in Jackson, TN

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Michael Allen Revelle, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Tennessee. His current practice location is 708 W Forest Ave, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 660-8759.

Michael Allen Revelle is licensed to practice in Tennessee (license number MD34579) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295714558.

Contact Information

Michael Allen Revelle, MD
708 W Forest Ave,
Jackson, TN 38301-3901
(731) 660-8759
Not Available

Map and Direction




Physician's Profile

Full NameMichael Allen Revelle
GenderMale
SpecialityEmergency Medicine
Location708 W Forest Ave, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295714558
  • Provider Enumeration Date: 01/13/2006
  • Last Update Date: 07/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5496794588
  • Enrollment ID: I20050428000155

Medical Identifiers

Medical identifiers for Michael Allen Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295714558NPI-NPPES
P00109858OtherRR MEDICARE
3861019MedicaidTN
4032737OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD34579 (Tennessee)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. Michael Allen Revelle allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Care Facilities Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565

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. Michael Allen 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 AddressPractice Location Address
Michael Allen Revelle, MD
1804 Highway 45 Byp, Suite 604,
Jackson, TN 38305-4436

Ph: (731) 660-8759		Michael Allen Revelle, MD
708 W Forest Ave,
Jackson, TN 38301-3901

Ph: (731) 660-8759

Reviews and Comments


Emergency Medicine Doctors in Jackson, TN

John Hayes, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8755    Fax: 731-660-8739
Dr. Donald Charles Correll, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-425-6280    Fax: 731-425-4922
Dr. William Tyler Hayden, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-343-0886    
Dr. Keith Alden Mosher Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301
Phone: 731-256-0526    Fax: 731-256-1720
Jim C Craig Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8759    
Gloria Laws, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-541-3784    
Jay Gordon Shires, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-265-8355

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.