Mr Jeffrey J Revill, MD - Medicare Emergency Medicine in Columbia, TN

Mr Jeffrey J Revill, MD is a medicare enrolled "Emergency Medicine" physician in Columbia, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Coverage Corp and his current practice location is 1530 Center Star Rd, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 626-0117.

Mr Jeffrey J Revill is licensed to practice in Tennessee (license number 37837) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679567523.

Contact Information

Mr Jeffrey J Revill, MD
1530 Center Star Rd,
Columbia, TN 38401
(931) 626-0117
(931) 380-3640



Physician's Profile

Full NameMr Jeffrey J Revill
GenderMale
SpecialityEmergency Medicine
Experience23 Years
Location1530 Center Star Rd, Columbia, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeffrey J Revill attended and graduated from East Tennessee State University Quillen College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1679567523
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 06/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2961472683
  • Enrollment ID: I20040729001036

Medical Identifiers

Medical identifiers for Mr Jeffrey J Revill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679567523NPI-NPPES
0056324MedicaidOH
3897284MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 37837 (Tennessee)Primary
207Q00000XFamily Medicine 35.098156 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Tennessee Regional Health System LawrenceLawrenceburg, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Coverage Corp3072412592364

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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 Jeffrey J Revill allows following entities to bill medicare on his behalf.
Entity NameEmergency Coverage Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666

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Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159

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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. Mr Jeffrey J Revill 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
Mr Jeffrey J Revill, MD
1530 Center Star Road,
Columbia, TN 38401

Ph: (931) 626-0117
Mr Jeffrey J Revill, MD
1530 Center Star Rd,
Columbia, TN 38401

Ph: (931) 626-0117

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Emergency Medicine Doctors in Columbia, TN

Dr. James S Dean, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1224 Trotwood Ave, Primary, Columbia, TN 38401
Phone: 931-490-7400    
Dr. Kelly James Tenbrink, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
John Mark Brewer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1224 Trotwood Ave, Maury Regional Hospital, Columbia, TN 38401
Phone: 931-388-3915    Fax: 931-388-7119
Dr. Chad Richard Bowser, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
George William Joseph Wollas Iv, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-490-7400    
William K. Meeker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1218 Trotwood Ave, Columbia, TN 38401
Phone: 931-380-4114    Fax: 931-380-4106

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