James Clifford Revis, CRNA in Fort Hood, TX - Medicare Nurse Anesthetist, Certified Registered

James Clifford Revis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Hood, Texas. His current practice location is 36065 Santa Fe Ave, Fort Hood, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 288-8000.

James Clifford Revis is licensed to practice in Georgia (license number RN282004) 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 1831716026.

Contact Information

	James Clifford Revis, CRNA
	36065 Santa Fe Ave, Fort Hood, TX 76544
	(254) 288-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	James Clifford Revis
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	36065 Santa Fe Ave, Fort Hood, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831716026
Provider Enumeration Date: 07/03/2020
Last Update Date: 07/03/2020

Medicare PECOS Information:

PECOS PAC ID: 5193189025
Enrollment ID: I20230912000731

Medical Identifiers

Medical identifiers for James Clifford Revis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831716026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN282004 (Georgia)	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. James Clifford Revis allows following entities to bill medicare on his behalf.

Entity Name	Southwest Ohio Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399

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. James Clifford Revis 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
James Clifford Revis, CRNA 416 San Gabriel River Rd, Georgetown, TX 78626-2178 Ph: (513) 504-2700	James Clifford Revis, CRNA 36065 Santa Fe Ave, Fort Hood, TX 76544 Ph: (254) 288-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Hood, TX

Michelle Dawn Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 253-973-8193
Terry Earl Raines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Darnall Army Medical Center, Fort Hood, TX 76544 Phone: 254-288-8556
James Chervoni, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-288-8197 Fax: 254-553-1885
Denise Michele Beaumont, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 Phone: 254-288-8706 Fax: 254-288-7017
Ms. Lori Ann Lawhorn, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8559
Michael Soucier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 36065 Sante Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8000
Mr. James Wilson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 36065 Sante Fe Ave, Carl R.darnall Army Medical Center, Fort Hood, TX 76544 Phone: 253-304-1248

James Clifford Revis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Hood, TX