Jessica Revell, LSW in Erie, PA - Medicare Social Worker Provider

Jessica Revell, LSW is a medicare enrolled "Social Worker" provider in Erie, Pennsylvania. Her current practice location is 1330 W 26th St, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 459-9300.

Jessica Revell is licensed to practice in Pennsylvania (license number SW137073) 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 1093328965.

Contact Information

	Jessica Revell, LSW
	1330 W 26th St, Erie, PA 16508-1402
	(814) 459-9300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Revell
Gender	Female
Speciality	Social Worker
Location	1330 W 26th St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093328965
Provider Enumeration Date: 08/28/2020
Last Update Date: 05/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3173988771
Enrollment ID: I20230504001344

Medical Identifiers

Medical identifiers for Jessica Revell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093328965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW023411 (Pennsylvania)	Secondary
104100000X	Social Worker	SW137073 (Pennsylvania)	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. Jessica Revell allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Health Of Upmc Hamot
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083695985 PECOS PAC ID: 6305743154 Enrollment ID: O20031218000519

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. Jessica Revell 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
Jessica Revell, LSW 307 Hillcrest Dr, Edinboro, PA 16412-2338 Ph: (814) 490-4899	Jessica Revell, LSW 1330 W 26th St, Erie, PA 16508-1402 Ph: (814) 459-9300

Reviews and Comments

Social Worker in Erie, PA

Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610
Ann Hippely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500
Mr. David T. Urban, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 W 38th St, Erie, PA 16508 Phone: 814-864-9719 Fax: 814-866-1171
Ann Muczynski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4506 Fax: 814-866-4612

Jessica Revell, LSW - Medicare Clinical Social Worker in Erie, PA