Dr Sally M Revell, MD in Marietta, GA - Medicare Otolaryngology

Dr Sally M Revell, MD is a medicare enrolled "Otolaryngology" physician in Marietta, Georgia. She went to Baylor College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 699 Church St Ne, Ste 340, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 793-7613.

Dr Sally M Revell is licensed to practice in Georgia (license number 65884) 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 1225212061.

Contact Information

	Dr Sally M Revell, MD
	699 Church St Ne, Ste 340, Marietta, GA 30060
	(770) 793-7613
	(770) 793-7413

Map and Direction

Physician's Profile

Full Name	Dr Sally M Revell
Gender	Female
Speciality	Otolaryngology
Experience	18 Years
Location	699 Church St Ne, Marietta, Georgia
Accepts Medicare Assignments	Yes. 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 Sally M Revell attended and graduated from Baylor College Of Medicine in 2006

NPI Data:

NPI Number: 1225212061
Provider Enumeration Date: 12/27/2007
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 6103096748
Enrollment ID: I20110908002190

Medical Identifiers

Medical identifiers for Dr Sally M Revell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225212061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	65884 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital
Wellstar Cobb Hospital	Austell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1839

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 Sally M Revell allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Sally M 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
Dr Sally M Revell, MD 148 Bill Carruth Pkwy, Ste 220, Hiram, GA 30141-3754 Ph: (770) 505-0023	Dr Sally M Revell, MD 699 Church St Ne, Ste 340, Marietta, GA 30060 Ph: (770) 793-7613

Reviews and Comments

Otolaryngology Doctors in Marietta, GA

Dr. Andrew Everett Sutton, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 330, Marietta, GA 30060 Phone: 770-427-0368 Fax: 678-581-5969
Avani Patel Ingley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 80 Lacy St Nw, Northwest Ent And Allergy Center, Marietta, GA 30060 Phone: 770-427-0368
Dr. Debbie J Christensen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne, Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Tanisha Hutchinson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 Phone: 404-993-1320
Dr. David Michael Weeks, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St, Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Dr. Shatul L. Parikh, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 80 Lacy St Nw, Northwest Ent And Allergy Center, Marietta, GA 30060 Phone: 770-427-0368 Fax: 678-581-5969

Dr Sally M Revell, MD - Medicare Otolaryngology in Marietta, GA