Ms Janet Mary Revels, PMHNP in San Diego, CA - Medicare Nurse Practitioner

Ms Janet Mary Revels, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. Her current practice location is 4510 Executive Dr Ste 108, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 333-3515.

Ms Janet Mary Revels is licensed to practice in California (license number 95020388) 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 1225784390.

Contact Information

	Ms Janet Mary Revels, PMHNP
	4510 Executive Dr Ste 108, San Diego, CA 92121-3022
	(619) 333-3515
	(619) 362-9903

Map and Direction

Provider's Profile

Full Name	Ms Janet Mary Revels
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4510 Executive Dr Ste 108, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225784390
Provider Enumeration Date: 02/26/2022
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7719325372
Enrollment ID: I20240402004100

Medical Identifiers

Medical identifiers for Ms Janet Mary Revels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225784390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020388 (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. Ms Janet Mary Revels allows following entities to bill medicare on her behalf.

Entity Name	Aloha Integrative Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669016028 PECOS PAC ID: 0143656462 Enrollment ID: O20200624002686

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. Ms Janet Mary Revels 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
Ms Janet Mary Revels, PMHNP 2621 Pheasant Dr, San Diego, CA 92123-3325 Ph: (619) 971-0548	Ms Janet Mary Revels, PMHNP 4510 Executive Dr Ste 108, San Diego, CA 92121-3022 Ph: (619) 333-3515

Reviews and Comments

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Ms Janet Mary Revels, PMHNP - Medicare Nurse Practitioner in San Diego, CA