Tasha Revolus, is a
Student In An Organized Health Care Education/training Program based in Louisville, Kentucky. Tasha Revolus is licensed to practice in * (Not Available) (license number ) and her current practice location is
555 S Floyd St, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 533-3990.
NPI number for Tasha Revolus is 1083440440 and her current mailing address is 555 S Floyd St, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083440440.
Provider's Profile
| Full Name | Tasha Revolus |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 555 S Floyd St, Louisville, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083440440
- Provider Enumeration Date: 09/12/2024
- Last Update Date: 09/12/2024
Medical Identifiers
Medical identifiers for Tasha Revolus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083440440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 1163808 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Tasha Revolus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tasha Revolus,
555 S Floyd St,
Louisville, KY 40202-3822
Ph: (502) 533-3990 | Tasha Revolus,
555 S Floyd St,
Louisville, KY 40202-3822
Ph: (502) 533-3990 |
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