Dr Brunda Revanna, MD - Medicare Family Practice in Jacksonville, AL

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Dr Brunda Revanna, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Alabama. She went to Mercer University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab and her current practice location is 1465a 1st Ave Sw Ste A, Jacksonville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 435-8383.

Dr Brunda Revanna is licensed to practice in Alabama (license number 00025426) 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 1689646135.

Contact Information

Dr Brunda Revanna, MD
1465a 1st Ave Sw Ste A,
Jacksonville, AL 36265
(256) 435-8383
Not Available

Map and Direction




Physician's Profile

Full NameDr Brunda Revanna
GenderFemale
SpecialityFamily Practice
Experience21 Years
Location1465a 1st Ave Sw Ste A, Jacksonville, Alabama
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:
  • Dr Brunda Revanna attended and graduated from Mercer University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1689646135
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 06/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7315967122
  • Enrollment ID: I20051122000810

Medical Identifiers

Medical identifiers for Dr Brunda Revanna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689646135NPI-NPPES
051517109OtherAL BCBS
270060909OtherTRICARE
009930945MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 00025426 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Hospice Of BirminghamHomewood, ALHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cooper Green Mercy Health Services Authority An Affiliate Of Uab084062947349

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. Dr Brunda Revanna allows following entities to bill medicare on her behalf.
Entity NameAmerican Family Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157
Entity NameRegional Health Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639466584
PECOS PAC ID: 9638340201
Enrollment ID: O20110913000235
Entity NameCooper Green Mercy Health Services Authority An Affiliate Of Uab
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366073108
PECOS PAC ID: 0840629473
Enrollment ID: O20200402003238

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. Dr Brunda Revanna 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
Dr Brunda Revanna, MD
950 Eagles Landing Pwky #321,
Stockbridge, GA 30281

Ph: (678) 432-4755		Dr Brunda Revanna, MD
1465a 1st Ave Sw Ste A,
Jacksonville, AL 36265

Ph: (256) 435-8383

Reviews and Comments


Family Medicine Doctors in Jacksonville, AL

Brian Russell Ingram, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1460a 2nd Ave Sw, Jacksonville, AL 36265
Phone: 256-435-2180    Fax: 256-435-8718
Russell Leon Ingram, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1460 2nd Ave Sw, Jacksonville, AL 36265
Phone: 256-435-2180    Fax: 256-435-9525

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.