Revette Shahara, in Phoenix, AZ - Medicare Occupational Therapist Provider

Revette Shahara, is a medicare enrolled "Occupational Therapist" provider in Phoenix, Arizona. Her current practice location is 3623 E Kristal Way, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (586) 722-3401.

Revette Shahara is licensed to practice in Arizona (license number 005030) 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 1578280103.

Contact Information

	Revette Shahara,
	3623 E Kristal Way, Phoenix, AZ 85050-2643
	(586) 722-3401
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Revette Shahara
Gender	Female
Speciality	Occupational Therapist
Location	3623 E Kristal Way, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578280103
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0345681276
Enrollment ID: I20240509002588

Medical Identifiers

Medical identifiers for Revette Shahara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578280103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	005030 (Arizona)	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. Revette Shahara allows following entities to bill medicare on her behalf.

Provider Name	Select Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220510000680

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. Revette Shahara 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
Revette Shahara, 3623 E Kristal Way, Phoenix, AZ 85050-2643 Ph: () -	Revette Shahara, 3623 E Kristal Way, Phoenix, AZ 85050-2643 Ph: (586) 722-3401

Reviews and Comments

Occupational Therapist in Phoenix, AZ

Rebecca Ebbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 N 19th Ave, Phoenix, AZ 85021 Phone: 888-873-4221 Fax: 888-543-2289
Kristina Nalder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006
Tabitha Macziewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028 Phone: 602-368-8601 Fax: 602-368-8605
Christina Hyland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4641 N 12th St Ste 100, Phoenix, AZ 85014 Phone: 602-281-2896
Kristel Ferrer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 E Washington St Ste 108, Phoenix, AZ 85034 Phone: 602-313-8999
Giovanna Martinez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4125 N 14th St, Phoenix, AZ 85014 Phone: 602-882-5544
Courtney Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13201 S Wakial Loop Apt 1094, Phoenix, AZ 85044 Phone: 602-882-2345

Revette Shahara, - Medicare Occupational Therapist in Phoenix, AZ