Michael Allen Revelle, MD - Medicare Emergency Medicine in Jackson, TN

Michael Allen Revelle, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Tennessee. His current practice location is 708 W Forest Ave, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 660-8759.

Michael Allen Revelle is licensed to practice in Tennessee (license number MD34579) 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 1295714558.

Contact Information

Michael Allen Revelle, MD
708 W Forest Ave,
Jackson, TN 38301-3901
(731) 660-8759
Not Available



Physician's Profile

Full NameMichael Allen Revelle
GenderMale
SpecialityEmergency Medicine
Location708 W Forest Ave, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295714558
  • Provider Enumeration Date: 01/13/2006
  • Last Update Date: 07/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5496794588
  • Enrollment ID: I20050428000155

Medical Identifiers

Medical identifiers for Michael Allen Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295714558NPI-NPPES
P00109858OtherRR MEDICARE
3861019MedicaidTN
4032737OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD34579 (Tennessee)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. Michael Allen Revelle allows following entities to bill medicare on his behalf.
Entity NameEmergency Medical Care Facilities Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538345855
PECOS PAC ID: 6103837877
Enrollment ID: O20060509000565

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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. Michael Allen Revelle 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 AddressPractice Location Address
Michael Allen Revelle, MD
1804 Highway 45 Byp, Suite 604,
Jackson, TN 38305-4436

Ph: (731) 660-8759
Michael Allen Revelle, MD
708 W Forest Ave,
Jackson, TN 38301-3901

Ph: (731) 660-8759

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Emergency Medicine Doctors in Jackson, TN

John Hayes, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8755    Fax: 731-660-8739
Dr. Donald Charles Correll, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-425-6280    Fax: 731-425-4922
Dr. William Tyler Hayden, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-343-0886    
Dr. Keith Alden Mosher Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301
Phone: 731-256-0526    Fax: 731-256-1720
Jim C Craig Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 708 W Forest Ave, Jackson, TN 38301
Phone: 731-660-8759    
Jay Gordon Shires, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-265-8355
Dr. Robert D Turner, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 367 Hospital Blvd, Jackson, TN 38305
Phone: 731-661-2000    

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