Revere C-3 School is a
Speech-language Pathologist based in Revere, Missouri. Revere C-3 School is licensed to practice in Missouri (license number 114003) and their current practice location is
One Bulldog Drive, Revere, Missouri. It can be reached at their office (for appointments etc.) via phone at
(660) 948-2621.
NPI number for Revere C-3 School is 1225205032 and their current mailing address is Po Box 300, Revere, Missouri. Revere C-3 School
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225205032.
Healthcare Provider's Profile
Full Name | Revere C-3 School |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | One Bulldog Drive, Revere, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225205032
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 05/12/2008
Medical Identifiers
Medical identifiers for Revere C-3 School such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225205032 | NPI | - | NPPES |
506144906 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 114003 (Missouri) | 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. Revere C-3 School 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 |
Revere C-3 School Po Box 300, Revere, MO 63465-0300 Ph: (660) 948-2621 | Revere C-3 School One Bulldog Drive, Revere, MO 63465 Ph: (660) 948-2621 |
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