Mr Rene Revillas, in Kew Gardens, NY - Medicare Physical Therapist Provider

Mr Rene Revillas, is a medicare enrolled "Physical Therapist" provider in Kew Gardens, New York. His current practice location is 8441 130th St, Kew Gardens, New York. You can reach out to his office (for appointments etc.) via phone at (315) 561-1817.

Mr Rene Revillas is licensed to practice in California (license number 42048) 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 1639563737.

Contact Information

	Mr Rene Revillas,
	8441 130th St, Kew Gardens, NY 11415-2812
	(315) 561-1817
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Rene Revillas
Gender	Male
Speciality	Physical Therapist
Location	8441 130th St, Kew Gardens, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639563737
Provider Enumeration Date: 03/26/2015
Last Update Date: 03/26/2015

Medicare PECOS Information:

PECOS PAC ID: 7214227628
Enrollment ID: I20160526000185

Medical Identifiers

Medical identifiers for Mr Rene Revillas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639563737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	42048 (California)	Primary
225100000X	Physical Therapist	031838 (New York)	Secondary
225100000X	Physical Therapist	3946 (Hawaii)	Secondary

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. Mr Rene Revillas allows following entities to bill medicare on his behalf.

Provider Name	Priority One Therapy Pt Ot Slp Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447517453 PECOS PAC ID: 0941462006 Enrollment ID: O20120507000573

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. Mr Rene Revillas 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
Mr Rene Revillas, 8441 130th St, Kew Gardens, NY 11415-2812 Ph: () -	Mr Rene Revillas, 8441 130th St, Kew Gardens, NY 11415-2812 Ph: (315) 561-1817

Reviews and Comments

Physical Therapist in Kew Gardens, NY

Dr. Jerome Tolentino Rivera Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 80-46 Kew Gardens Rd, Kew Gardens, NY 11415 Phone: 718-261-1000
Jamie Lois Lorenzo Fabros, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8046 Kew Gardens Rd, Kew Gardens, NY 11415 Phone: 718-261-1000
Michiko Alla Uy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8046 Kew Gardens Rd, Kew Gardens, NY 11415 Phone: 718-261-1000
Klein Physical Therapy Care Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 12516 83rd Dr Apt 5b, Kew Gardens, NY 11415 Phone: 562-331-9715
Promet Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12308 Metropolitan Ave, Kew Gardens, NY 11415 Phone: 718-880-2385 Fax: 718-880-2386
Maxwell Ketschke, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8002 Kew Gardens Rd Fl 4, Kew Gardens, NY 11415 Phone: 347-954-0978
Professional Orthopedic And Sports Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8002 Kew Gardens Rd, 4th Floor, Kew Gardens, NY 11415 Phone: 718-263-7500 Fax: 718-263-7502

Mr Rene Revillas, - Medicare Physical Therapist in Kew Gardens, NY