| William Robert Revelette, MD | |
| 
					101 Orchard Dr, Nicholasville, KY 40356-2690  | |
| (859) 881-4288 | |
| (859) 881-4388 | 
| Full Name | William Robert Revelette | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Adolescent Medicine | 
| Location | 101 Orchard Dr, Nicholasville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639146996 | NPI | - | NPPES | 
| 64313372 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 31337 (Kentucky) | Secondary | 
| 2080A0000X | Pediatrics - Adolescent Medicine | 31337 (Kentucky) | Primary | 
| Entity Name | Healthpoint Family Care, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508889742 PECOS PAC ID: 9638089642 Enrollment ID: O20040708000655  | 
| Mailing Address | Practice Location Address | 
|---|---|
| William Robert Revelette, MD 215 E 11th St, Newport, KY 41071-2203 Ph: (859) 655-6100  | William Robert Revelette, MD 101 Orchard Dr, Nicholasville, KY 40356-2690 Ph: (859) 881-4288  | 
Sibel S. Gullo, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way, Suite 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379  | |
Mrs. Linda A Lear, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 209 Stirrup Cir, Nicholasville, KY 40356 Phone: 859-885-1760  | |
Madison Claire Dressler,  Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Providence Way Ste 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379  | |
Apurva Subbaswamy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way Ste 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5370  | |
Dr. Jai H Gilliam, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Providence Way, Suite 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379  | |
Gary Allen Weinberger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 N Main St, Nicholasville, KY 40356 Phone: 859-881-0533 Fax: 859-881-0566  |