Zachary James Revert, PA-S is a medicare enrolled "Physician Assistant" in Trenton, South Carolina. His current practice location is
181 Courtney Rd, Trenton, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 275-7034.
Zachary James Revert is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134846876.
Provider's Profile
Full Name | Zachary James Revert |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 181 Courtney Rd, Trenton, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134846876
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264877281
- Enrollment ID: I20240229003207
Medical Identifiers
Medical identifiers for Zachary James Revert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134846876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Zachary James Revert 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 |
Zachary James Revert, PA-S 181 Courtney Rd, Trenton, SC 29847-3103 Ph: (803) 275-7034 | Zachary James Revert, PA-S 181 Courtney Rd, Trenton, SC 29847-3103 Ph: (803) 275-7034 |
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