Mary Ann Reveles, in Sun Valley, CA - Medicare Nurse Practitioner

Mary Ann Reveles, is a medicare enrolled "Nurse Practitioner - Family" in Sun Valley, California. Her current practice location is 9375 San Fernando Rd, Sun Valley, California. You can reach out to her office (for appointments etc.) via phone at (818) 504-4700.

Mary Ann Reveles is licensed to practice in California (license number 95022758) 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 1164149621.

Contact Information

	Mary Ann Reveles,
	9375 San Fernando Rd, Sun Valley, CA 91352-1428
	(818) 504-4700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Ann Reveles
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9375 San Fernando Rd, Sun Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164149621
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6103290119
Enrollment ID: I20230314002222

Medical Identifiers

Medical identifiers for Mary Ann Reveles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164149621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95022758 (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. Mary Ann Reveles allows following entities to bill medicare on her behalf.

Entity Name	Los Robles Emergency Physicians Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469

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. Mary Ann Reveles 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
Mary Ann Reveles, 9375 San Fernando Rd, Sun Valley, CA 91352-1428 Ph: (818) 504-4700	Mary Ann Reveles, 9375 San Fernando Rd, Sun Valley, CA 91352-1428 Ph: (818) 504-4700

Reviews and Comments

Nurse Practitioner Nurses in Sun Valley, CA

Vadim Sarkisyan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7262 Satsuma Ave, Sun Valley, CA 91352 Phone: 323-327-3465
Anahit Hakobyan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8337 Laurel Canyon Blvd, Sun Valley, CA 91352 Phone: 818-504-8499
Karine Torossian, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-3000 Fax: 818-504-4690
Lousine Egiazarian, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10961 Peoria St, Sun Valley, CA 91352 Phone: 818-450-7292
Anna Chalikyan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7330 Satsuma Ave, Sun Valley, CA 91352 Phone: 818-934-2410
Brenda Chang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9375 San Fernando Rd, Sun Valley, CA 91352 Phone: 818-768-4790

Mary Ann Reveles, - Medicare Nurse Practitioner in Sun Valley, CA