Rene L Revelle, CNP - Medicare Nurse Practitioner in Eldon, MO

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Rene L Revelle, CNP is a medicare enrolled "Nurse Practitioner - Family" in Eldon, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Regional Health System and her current practice location is 304a E 4th St, Eldon, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 557-2400.

Rene L Revelle is licensed to practice in Missouri (license number 2015010647) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639584139.

Contact Information

Rene L Revelle, CNP
304a E 4th St,
Eldon, MO 65026-1808
(573) 557-2400
(573) 557-2401

Map and Direction




Provider's Profile

Full NameRene L Revelle
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location304a E 4th St, Eldon, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rene L Revelle graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1639584139
  • Provider Enumeration Date: 06/24/2014
  • Last Update Date: 06/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6507082559
  • Enrollment ID: I20150713002005

Medical Identifiers

Medical identifiers for Rene L Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639584139NPI-NPPES
0105747MedicaidOH
3810027971MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family COA15919NP (Ohio)Secondary
363LF0000XNurse Practitioner - Family 2015010647 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Regional Health SystemOsage beach, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Regional Health System913302677681

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. Rene L Revelle allows following entities to bill medicare on her behalf.
Entity NameLake Regional Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147

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. Rene L 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
Rene L Revelle, CNP
Po Box 1500,
Osage Beach, MO 65065-1500

Ph: () -		Rene L Revelle, CNP
304a E 4th St,
Eldon, MO 65026-1808

Ph: (573) 557-2400

Reviews and Comments


Nurse Practitioner Nurses in Eldon, MO

Julie L. Russell, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304 A East 4th St, Eldon, MO 65026
Phone: 573-392-5654    Fax: 573-392-5692
Kaydie Ann Dial, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 195 Hays Dr, Eldon, MO 65026
Phone: 573-375-0159    
Laura M Thompson, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304a E 4th St, Eldon, MO 65026
Phone: 573-557-2400    Fax: 573-557-2401
Josetta Eliese Wahwassuck, MSN, FNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 206 S Mill St, Eldon, MO 65026
Phone: 888-403-1071    
Sherry L Schwartz-banner, RN BSN BC FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 304a E 4th St, Eldon, MO 65026
Phone: 573-392-5654    Fax: 573-557-2401
Kayla Jean Blaes, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 304a E 4th St, Eldon, MO 65026
Phone: 573-557-2400    Fax: 573-557-2401

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.