Revision Wellness Llc - Medicare Mental Health Clinic in Orlando, FL

Revision Wellness Llc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Orlando, Florida. The current practice location for Revision Wellness Llc is 1317 Edgewater Dr Ste 1501, Orlando, Florida. For appointments, you can reach them via phone at (407) 755-7034. The mailing address for Revision Wellness Llc is 1301 Wheeler Rd, Apopka, Florida and phone number is (407) 755-7034.

Revision Wellness Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114789468. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (407) 755-7034.

Contact Information

Revision Wellness Llc
1317 Edgewater Dr Ste 1501
Orlando
FL 32804-6350
(407) 755-7034
Not Available

Mental Health Clinic Profile

Full NameRevision Wellness Llc
SpecialityCounselor
Location1317 Edgewater Dr Ste 1501, Orlando, Florida
Authorized Official Name and PositionNicole Scovile (OWNER)
Authorized Official Contact4077557034
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revision Wellness Llc
1301 Wheeler Rd
Apopka
FL 32703-7410

Ph: (407) 755-7034
Revision Wellness Llc
1317 Edgewater Dr Ste 1501
Orlando
FL 32804-6350

Ph: (407) 755-7034

NPI Details:

NPI Number1114789468
Provider Enumeration Date01/23/2024
Last Update Date01/23/2024
Certification Date01/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365888351
Medicare Enrollment IDO20240313000839

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Medical Identifiers

Medical identifiers for Revision Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114789468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revision Wellness Llc acts as a billing entity for following providers:
Provider NameNicole Scovil
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376178699
PECOS PAC ID: 9335585157
Enrollment ID: I20240314002110

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