Ms Rebel Mary Reavis, FNP-C in Roswell, NM - Medicare Nurse Practitioner

Ms Rebel Mary Reavis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roswell, New Mexico. Her current practice location is 603 W Country Club Rd, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 624-4922.

Ms Rebel Mary Reavis is licensed to practice in New Mexico (license number 77896) 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 1811753460.

Contact Information

	Ms Rebel Mary Reavis, FNP-C
	603 W Country Club Rd, Roswell, NM 88201-5211
	(575) 624-4922
	(575) 624-4902

Map and Direction

Provider's Profile

Full Name	Ms Rebel Mary Reavis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	603 W Country Club Rd, Roswell, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811753460
Provider Enumeration Date: 02/22/2024
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1759720121
Enrollment ID: I20240418000105

Medical Identifiers

Medical identifiers for Ms Rebel Mary Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811753460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	77896 (New Mexico)	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 Rebel Mary Reavis allows following entities to bill medicare on her behalf.

Entity Name	Roswell Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799

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 Rebel Mary Reavis 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 Rebel Mary Reavis, FNP-C 603 W Country Club Rd, Roswell, NM 88201-5211 Ph: (575) 624-4922	Ms Rebel Mary Reavis, FNP-C 603 W Country Club Rd, Roswell, NM 88201-5211 Ph: (575) 624-4922

Reviews and Comments

Nurse Practitioner Nurses in Roswell, NM

Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303
Rachel M Schupp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273

Ms Rebel Mary Reavis, FNP-C - Medicare Nurse Practitioner in Roswell, NM