Walter J Revell Jr, MD in Vidalia, GA - Medicare General Surgery

Walter J Revell Jr, MD is a medicare enrolled "Surgery" physician in Vidalia, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1974 and has 51 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Peterson Dermatology, P.c. and his current practice location is 305 W 1st St, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 538-9080.

Walter J Revell Jr is licensed to practice in South Carolina (license number 11191) 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 1275641995.

Contact Information

	Walter J Revell Jr, MD
	305 W 1st St, Vidalia, GA 30474-3302
	(912) 538-9080
	(912) 538-9085

Map and Direction

Physician's Profile

Full Name	Walter J Revell Jr
Gender	Male
Speciality	General Surgery
Experience	51 Years
Location	305 W 1st St, Vidalia, Georgia
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:

Walter J Revell Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1974

NPI Data:

NPI Number: 1275641995
Provider Enumeration Date: 08/25/2006
Last Update Date: 05/01/2018

Medicare PECOS Information:

PECOS PAC ID: 6800883489
Enrollment ID: I20180820000953

Medical Identifiers

Medical identifiers for Walter J Revell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275641995	NPI	-	NPPES
111916	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	11191 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peterson Dermatology, P.c.	7113018334	4

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. Walter J Revell Jr allows following entities to bill medicare on his behalf.

Entity Name	Peterson Dermatology, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932300886 PECOS PAC ID: 7113018334 Enrollment ID: O20070802000182

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. Walter J Revell Jr 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
Walter J Revell Jr, MD 305 W 1st St, Vidalia, GA 30474-3302 Ph: (912) 538-9080	Walter J Revell Jr, MD 305 W 1st St, Vidalia, GA 30474-3302 Ph: (912) 538-9080

Reviews and Comments

Surgery Doctors in Vidalia, GA

Dr. Robert Bicknell Clark Jr., M.D.,F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1811 Manning Dr, Vidalia, GA 30474 Phone: 912-537-6344 Fax: 912-537-1901
Dr. Kurt Patrick Hofmann, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-9977
Joy M Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-9977
Dr. Gregory Norkus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-9977
Kendrix Jermaine Evans, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-9977 Fax: 912-538-0770
Dr. Henry Leon Ferland Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-9977 Fax: 912-538-0770

Walter J Revell Jr, MD - Medicare General Surgery in Vidalia, GA