Sanjay G Revankar, MD in Detroit, MI - Medicare Internal Medicine

Sanjay G Revankar, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Detroit, Michigan. His current practice location is 3901 Chrysler Dr, Suite 4a, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-4525.

Sanjay G Revankar is licensed to practice in Michigan (license number 4301057946) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144267634.

Contact Information

	Sanjay G Revankar, MD
	3901 Chrysler Dr, Suite 4a, Detroit, MI 48201-2167
	(313) 745-4525
	(313) 577-3223

Map and Direction

Physician's Profile

Full Name	Sanjay G Revankar
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	3901 Chrysler Dr, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144267634
Provider Enumeration Date: 06/01/2006
Last Update Date: 04/18/2016

Medicare PECOS Information:

PECOS PAC ID: 7618983511
Enrollment ID: I20060302000109

Medical Identifiers

Medical identifiers for Sanjay G Revankar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144267634	NPI	-	NPPES
488412910	Medicaid	MI
SR057946	Other		CHAMPUS-CHAMPUS
SR057946	Other		COMMERCIAL-COMMERCIAL NUMBER
700H262220	Other		BLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4301057946 (Michigan)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	4301057946 (Michigan)	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. Sanjay G Revankar allows following entities to bill medicare on his behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Sanjay G Revankar 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
Sanjay G Revankar, MD 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1189 Ph: (248) 581-5972	Sanjay G Revankar, MD 3901 Chrysler Dr, Suite 4a, Detroit, MI 48201-2167 Ph: (313) 745-4525

Reviews and Comments

Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 50 E Canfield St, Detroit, MI 48201 Phone: 313-745-4525
Dr. Roopkiranjot Kahlon, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201 Phone: 313-745-4525
Avi Cohen, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Waleed Obaid, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3250
Lindsey Aurora, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Alexander Garbarino, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Maria Diab, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305

Sanjay G Revankar, MD - Medicare Internal Medicine in Detroit, MI