Fredy Jesus Revilla, MD in Greenville, SC

Fredy Jesus Revilla, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Greenville, South Carolina. His current practice location is 200 Patewood Dr Ste B350, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 454-4500.

Fredy Jesus Revilla is licensed to practice in South Carolina (license number 37641) 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 1760418610.

Contact Information

	Fredy Jesus Revilla, MD
	200 Patewood Dr Ste B350, Greenville, SC 29615-6337
	(864) 454-4500
	(864) 454-4505

Map and Direction

Physician's Profile

Full Name	Fredy Jesus Revilla
Gender	Male
Speciality
Experience	Years
Location	200 Patewood Dr Ste B350, Greenville, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fredy Jesus Revilla attended and graduated from in

NPI Data:

NPI Number: 1760418610
Provider Enumeration Date: 06/23/2006
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Fredy Jesus Revilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760418610	NPI	-	NPPES
2463614	Medicaid	OH
376417	Medicaid	SC
P00113175	Other	OH	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	35083417 (Ohio)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	37641 (South Carolina)	Primary

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. Fredy Jesus Revilla 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
Fredy Jesus Revilla, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Fredy Jesus Revilla, MD 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 Ph: (864) 454-4500

Reviews and Comments

Psychiatry & Neurology Doctors in Greenville, SC

Saher Karim Choudhary, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505
Kathleen Valeska Woschkolup, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Roper Creek Dr, Greenville, SC 29615 Phone: 864-516-1170 Fax: 877-249-9483
Benjamin Todd Griffeth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Ste 200, Greenville, SC 29605 Phone: 864-455-8431
Meng Zhou-wang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr, Suite B350, Greenville, SC 29615 Phone: 864-454-4500 Fax: 864-454-4505
Dr. Marc Taro Ishizuka, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Park Creek Dr, Va Outpatient Clinic In Greenville, Greenville, SC 29605 Phone: 864-299-1600
Karen Sue Stacher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard Street, Greenville, SC 29601 Phone: 864-241-1040 Fax: 864-241-1049
Dr. Ambreen A Ahmad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27 Memorial Medical Dr, Greenville, SC 29605 Phone: 864-295-2221 Fax: 864-220-6109

Fredy Jesus Revilla, MD - Medicare in Greenville, SC