Mary Ann Reveles, - Medicare Nurse Practitioner in Sun Valley, CA

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Mary Ann Reveles, is a medicare enrolled "Nurse Practitioner - Family" in Sun Valley, California. Her current practice location is 9375 San Fernando Rd, Sun Valley, California. You can reach out to her office (for appointments etc.) via phone at (818) 504-4700.

Mary Ann Reveles is licensed to practice in California (license number 95022758) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164149621.

Contact Information

Mary Ann Reveles,
9375 San Fernando Rd,
Sun Valley, CA 91352-1428
(818) 504-4700
Not Available

Map and Direction




Provider's Profile

Full NameMary Ann Reveles
GenderFemale
SpecialityNurse Practitioner - Family
Location9375 San Fernando Rd, Sun Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164149621
  • Provider Enumeration Date: 10/25/2022
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103290119
  • Enrollment ID: I20230314002222

Medical Identifiers

Medical identifiers for Mary Ann Reveles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164149621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95022758 (California)Primary

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. Mary Ann Reveles allows following entities to bill medicare on her behalf.
Entity NameLos Robles Emergency Physicians Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417983552
PECOS PAC ID: 4880582618
Enrollment ID: O20040916000469
Entity NameTeam Physicians Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276

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. Mary Ann Reveles 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 AddressPractice Location Address
Mary Ann Reveles,
9375 San Fernando Rd,
Sun Valley, CA 91352-1428

Ph: (818) 504-4700		Mary Ann Reveles,
9375 San Fernando Rd,
Sun Valley, CA 91352-1428

Ph: (818) 504-4700

Reviews and Comments


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Phone: 818-768-3000    Fax: 818-504-4690
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Lousine Egiazarian, FNP-C
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Practice Location: 10961 Peoria St, Sun Valley, CA 91352
Phone: 818-450-7292    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.