Stephen Francisco Revilla, MD | |
169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | |
(843) 792-2322 | |
Not Available |
Full Name | Stephen Francisco Revilla |
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Gender | Male |
Speciality | Anesthesiology |
Location | 169 Ashley Ave Rm 202, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861051823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | LL82769 (South Carolina) | Primary |
Entity Name | Keller Anesthesia Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356064844 PECOS PAC ID: 4880065929 Enrollment ID: O20230127000331 |
Mailing Address | Practice Location Address |
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Stephen Francisco Revilla, MD 169 Ashley Ave, Charleston, SC 29425-8905 Ph: () - | Stephen Francisco Revilla, MD 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 Ph: (843) 792-2322 |
Dr. William Nolan Bagnal, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Main Hospital Msc 333, Charleston, SC 29425 Phone: 843-792-2322 | |
Dr. Robert Boone Coleman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2322 | |
Dr. Caroline Salvatrice Schlee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 167 Ashley Avenue, Suite 301 Msc 912, Charleston, SC 29425 Phone: 843-792-2322 | |
Tod A Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1000 | |
Catherine K Ellyn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 125 Doughty St, Ste 420, Charleston, SC 29403 Phone: 843-723-3441 Fax: 843-805-4040 | |
Dr. Marc Hassid, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Michelle Sher Rovner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |