Mr Jeffrey J Revill, MD | |
1530 Center Star Rd, Columbia, TN 38401 | |
(931) 626-0117 | |
(931) 380-3640 |
Full Name | Mr Jeffrey J Revill |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 1530 Center Star Rd, Columbia, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679567523 | NPI | - | NPPES |
0056324 | Medicaid | OH | |
3897284 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 37837 (Tennessee) | Primary |
207Q00000X | Family Medicine | 35.098156 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Tennessee Regional Health System Lawrence | Lawrenceburg, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Coverage Llc | 3072412592 | 391 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | App Of Tennessee Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey J Revill, MD 1530 Center Star Road, Columbia, TN 38401 Ph: (931) 626-0117 | Mr Jeffrey J Revill, MD 1530 Center Star Rd, Columbia, TN 38401 Ph: (931) 626-0117 |
Dr. James S Dean, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Primary, Columbia, TN 38401 Phone: 931-490-7400 | |
Dr. Kelly James Tenbrink, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
John Mark Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Maury Regional Hospital, Columbia, TN 38401 Phone: 931-388-3915 Fax: 931-388-7119 | |
Dr. Chad Richard Bowser, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
George William Joseph Wollas Iv, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-490-7400 | |
William K. Meeker, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1218 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4114 Fax: 931-380-4106 |