Connie L Revecamp, MS in Roseville, CA - Medicare Audiologist Provider

Connie L Revecamp, MS is a medicare enrolled "Audiologist" provider in Roseville, California. Her current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 784-5880.

Connie L Revecamp is licensed to practice in California (license number AU1029) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225198591.

Contact Information

	Connie L Revecamp, MS
	1600 Eureka Rd, Roseville, CA 95661-3027
	(916) 784-5880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connie L Revecamp
Gender	Female
Speciality	Audiologist
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225198591
Provider Enumeration Date: 12/09/2006
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6204067770
Enrollment ID: I20140326001037

Medical Identifiers

Medical identifiers for Connie L Revecamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225198591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU1029 (California)	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. Connie L Revecamp allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Connie L Revecamp 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
Connie L Revecamp, MS 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: () -	Connie L Revecamp, MS 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-5880

Reviews and Comments

Audiologist in Roseville, CA

Roselynn G Young, AU.D Audiologist Medicare: May Accept Medicare Assignments Practice Location: 1411 Secret Ravine Pkwy Ste 120, Roseville, CA 95661 Phone: 916-780-4200 Fax: 916-780-4201
Ms. Deborah Ann Keck, M.S., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 220, Roseville, CA 95661 Phone: 916-773-7920 Fax: 916-773-7919
Mrs. Linda Ann White, M.S.,CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 2120 Professional Dr Ste 220, Roseville, CA 95661 Phone: 916-771-6686 Fax: 916-771-6681
Placer Speech And Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1850 Douglas Blvd Ste 992, Roseville, CA 95661 Phone: 916-784-3500 Fax: 916-786-9001
Mrs. Jennifer Lynn Dammen, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4335
Jennifer Marie Castle, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 220, Roseville, CA 95661 Phone: 916-773-7920 Fax: 916-773-7919

Connie L Revecamp, MS - Medicare Audiologist in Roseville, CA