Reinald Allen Revilla, PMHNP in Torrance, CA - Medicare Nurse Practitioner

Reinald Allen Revilla, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Torrance, California. He went to Vanderbilt University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Advances In Mental Healthand Addictions Treatment, Inc. and his current practice location is 23700 Camino Del Sol, Torrance, California. You can reach out to his office (for appointments etc.) via phone at (310) 530-1151.

Reinald Allen Revilla is licensed to practice in California (license number 95007937) 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 1821507716.

Contact Information

	Reinald Allen Revilla, PMHNP
	23700 Camino Del Sol, Torrance, CA 90505
	(310) 530-1151
	Not Available

Map and Direction

Provider's Profile

Full Name	Reinald Allen Revilla
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	23700 Camino Del Sol, Torrance, California
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:

Reinald Allen Revilla attended and graduated from Vanderbilt University School Of Medicine in 2017

NPI Data:

NPI Number: 1821507716
Provider Enumeration Date: 09/24/2017
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0042569238
Enrollment ID: I20180821003691

Medical Identifiers

Medical identifiers for Reinald Allen Revilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821507716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	758060 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95007937 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advances In Mental Healthand Addictions Treatment, Inc.	3173844222	6

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. Reinald Allen Revilla allows following entities to bill medicare on his behalf.

Entity Name	Juden Valdez Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700907383 PECOS PAC ID: 9335272160 Enrollment ID: O20100730000783

Entity Name	Advances In Mental Health& Addictions Treatment, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942529037 PECOS PAC ID: 3173844222 Enrollment ID: O20150602001263

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. Reinald Allen Revilla 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
Reinald Allen Revilla, PMHNP Po Box 4570, Palos Verdes Peninsula, CA 90274-9607 Ph: (424) 400-7748	Reinald Allen Revilla, PMHNP 23700 Camino Del Sol, Torrance, CA 90505 Ph: (310) 530-1151

Reviews and Comments

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Reinald Allen Revilla, PMHNP - Medicare Nurse Practitioner in Torrance, CA