John P Revord, MD in Appleton, WI - Medicare Physical Medicine & Rehabilitation

John P Revord, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Appleton, Wisconsin. His current practice location is 5320 Michaels Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 882-8200.

John P Revord is licensed to practice in Wisconsin (license number 32952) 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 1922090141.

Contact Information

	John P Revord, MD
	5320 Michaels Dr, Appleton, WI 54913-8446
	(920) 882-8200
	(920) 882-8210

Physician's Profile

Full Name	John P Revord
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	5320 Michaels Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922090141
Provider Enumeration Date: 08/16/2005
Last Update Date: 02/11/2013

Medicare PECOS Information:

PECOS PAC ID: 1254317480
Enrollment ID: I20040628000745

Medical Identifiers

Medical identifiers for John P Revord such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922090141	NPI	-	NPPES
31795300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	32952 (Wisconsin)	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. John P Revord 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
John P Revord, MD 5320 Michaels Dr, Appleton, WI 54913-8446 Ph: (920) 882-8200	John P Revord, MD 5320 Michaels Dr, Appleton, WI 54913-8446 Ph: (920) 882-8200

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Physical Medicine & Rehabilitation Doctors in Appleton, WI

Randall J Schultz, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5320 Michaels Dr, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210
Dr. Tracy Louise Page, M.D.,M.A. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2801 E Enterprise Ave Ste 205, Appleton, WI 54913 Phone: 920-968-9311
Dr. Mac Roman Weninger, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-4101
Brenda Jeanne Dierschke, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-738-6400
Dr. Cason M Brown, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5320 W Michaels Drive, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210
Scott Powley, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050
John T Sellers, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5320 Michaels Dr, Appleton, WI 54913 Phone: 920-882-8200 Fax: 920-882-8210

John P Revord, MD - Medicare Physical Medicine & Rehabilitation in Appleton, WI