Dr Mariana Revelo, MD in Tehachapi, CA - Medicare Internal Medicine

Dr Mariana Revelo, MD is a medicare enrolled "Internal Medicine" physician in Tehachapi, California. Her current practice location is 1100 W Tehachapi Blvd, Tehachapi, California. You can reach out to her office (for appointments etc.) via phone at (661) 398-3737.

Dr Mariana Revelo is licensed to practice in California (license number A85386) 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 1639171069.

Contact Information

	Dr Mariana Revelo, MD
	1100 W Tehachapi Blvd, Tehachapi, CA 93561-2563
	(661) 398-3737
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mariana Revelo
Gender	Female
Speciality	Internal Medicine
Location	1100 W Tehachapi Blvd, Tehachapi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639171069
Provider Enumeration Date: 08/15/2005
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8123094489
Enrollment ID: I20040908000651

Medical Identifiers

Medical identifiers for Dr Mariana Revelo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639171069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A85386 (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. Dr Mariana Revelo allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Mariana Revelo 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
Dr Mariana Revelo, MD 1100 W Tehachapi Blvd, Tehachapi, CA 93561-2563 Ph: (661) 398-3737	Dr Mariana Revelo, MD 1100 W Tehachapi Blvd, Tehachapi, CA 93561-2563 Ph: (661) 398-3737

Reviews and Comments

Internal Medicine Doctors in Tehachapi, CA

Karandeep Singh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 707 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-822-2530 Fax: 661-822-2536
Dr. Taiga Inoue, MD, MS Internal Medicine Medicare: Medicare Enrolled Practice Location: 20960 Sage Ln, Tehachapi, CA 93561 Phone: 661-823-2273
Dr. Michael V Vu, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24900 Highway 202, Tehachapi, CA 93561 Phone: 661-822-4402
Gilbert Bourjeily, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 W E St, Tehachapi, CA 93561 Phone: 661-823-3000 Fax: 661-823-3082
Dr. Terry Jay Warsaw, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20211 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-822-5544
Dr. Harold Foster Tate, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24900 Highway 202, Tehachapi, CA 93581 Phone: 661-822-4402 Fax: 661-822-5004

Dr Mariana Revelo, MD - Medicare Internal Medicine in Tehachapi, CA