Dr Peter Charles Revenaugh, MD - Medicare Otolaryngology in Chicago, IL

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Dr Peter Charles Revenaugh, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Chicago, Illinois. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Rush University Medical Center and his current practice location is 1611 W Harrison St Ste 550, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 942-6100.

Dr Peter Charles Revenaugh is licensed to practice in Illinois (license number 036-136085) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114198678.

Contact Information

Dr Peter Charles Revenaugh, MD
1611 W Harrison St Ste 550,
Chicago, IL 60612
(312) 942-6100
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Charles Revenaugh
GenderMale
SpecialityOtolaryngology
Experience17 Years
Location1611 W Harrison St Ste 550, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Peter Charles Revenaugh attended and graduated from State University Of New York At Buffalo School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1114198678
  • Provider Enumeration Date: 03/12/2008
  • Last Update Date: 01/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860632239
  • Enrollment ID: I20140910001070

Medical Identifiers

Medical identifiers for Dr Peter Charles Revenaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114198678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036-136085 (Illinois)Secondary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 036-136085 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rush University Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rush University Medical Center54966588741007

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 Peter Charles Revenaugh allows following entities to bill medicare on his behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameRush Otolaryngology Head And Neck Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124101548
PECOS PAC ID: 6406855261
Enrollment ID: O20061206000017

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 Peter Charles Revenaugh 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 Peter Charles Revenaugh, MD
1611 W Harrison St Ste 550,
Chicago, IL 60612-4861

Ph: (312) 942-6100		Dr Peter Charles Revenaugh, MD
1611 W Harrison St Ste 550,
Chicago, IL 60612

Ph: (312) 942-6100

Reviews and Comments


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Dr. Elias M Michaelides, M. D.
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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.

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