William Robert Revelette, MD | |
101 Orchard Dr, Nicholasville, KY 40356-2690 | |
(859) 881-4288 | |
(859) 881-4388 |
Full Name | William Robert Revelette |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 101 Orchard Dr, Nicholasville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639146996 | NPI | - | NPPES |
64313372 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31337 (Kentucky) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 31337 (Kentucky) | Primary |
Entity Name | Healthpoint Family Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508889742 PECOS PAC ID: 9638089642 Enrollment ID: O20040708000655 |
Mailing Address | Practice Location Address |
---|---|
William Robert Revelette, MD 215 E 11th St, Newport, KY 41071-2203 Ph: (859) 655-6100 | William Robert Revelette, MD 101 Orchard Dr, Nicholasville, KY 40356-2690 Ph: (859) 881-4288 |
Sibel S. Gullo, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way, Suite 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379 | |
Mrs. Linda A Lear, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 209 Stirrup Cir, Nicholasville, KY 40356 Phone: 859-885-1760 | |
Apurva Subbaswamy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way Ste 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5370 | |
Dr. Jai H Gilliam, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way, Suite 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379 | |
Gary Allen Weinberger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 N Main St, Nicholasville, KY 40356 Phone: 859-881-0533 Fax: 859-881-0566 | |
Dr. Michael Wayne Simon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 E Brannon Rd, Suite 201, Nicholasville, KY 40356 Phone: 859-277-6516 Fax: 859-277-1521 |