Paul Revis, MD in Rockford, IL - Medicare Dermatology

Paul Revis, MD is a medicare enrolled "Dermatology" physician in Rockford, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Dermatology. His current practice location is 1055 Featherstone Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 227-1055.

Paul Revis is licensed to practice in Illinois (license number 036067857) 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 1518984293.

Contact Information

	Paul Revis, MD
	1055 Featherstone Rd, Rockford, IL 61107-5904
	(815) 227-1055
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul Revis
Gender	Male
Speciality	Dermatology
Experience	42 Years
Location	1055 Featherstone Rd, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Revis attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1982

NPI Data:

NPI Number: 1518984293
Provider Enumeration Date: 07/17/2006
Last Update Date: 01/16/2017

Medicare PECOS Information:

PECOS PAC ID: 6901906304
Enrollment ID: I20070714000073

Medical Identifiers

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

Identifier	Type	State	Issuer
1518984293	NPI	-	NPPES
036067857	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036067857 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish American Hospital	Rockford, IL	Hospital

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. Paul Revis allows following entities to bill medicare on his behalf.

Entity Name	Paul Revis Md Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952505422 PECOS PAC ID: 0547360943 Enrollment ID: O20070714000077

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. Paul 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
Paul Revis, MD 1055 Featherstone Rd Ste C, Rockford, IL 61107-5904 Ph: () -	Paul Revis, MD 1055 Featherstone Rd, Rockford, IL 61107-5904 Ph: (815) 227-1055

Reviews and Comments

Dermatology Doctors in Rockford, IL

Albert W. Hudson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277
Amy L Brodsky, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5995 Spring Creek Rd, Rockford, IL 61114 Phone: 815-977-4403
Dr. Melissa L Stenstrom, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd, Suite 205, Rockford, IL 61107 Phone: 815-484-9900 Fax: 815-487-4949
Dr. Lakimerly Michelle Coates, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4338 Morsay Dr, Rockford, IL 61107 Phone: 815-399-6400 Fax: 815-399-4424
Maria I Al-basha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd, Rockford, IL 61107 Phone: 815-229-9333

Paul Revis, MD - Medicare Dermatology in Rockford, IL