Rene L Revelle, CNP in Eldon, MO - Medicare Nurse Practitioner

Rene L Revelle, CNP is a medicare enrolled "Nurse Practitioner - Family" in Eldon, Missouri. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Regional Health System and her current practice location is 304a E 4th St, Eldon, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 557-2400.

Rene L Revelle is licensed to practice in Missouri (license number 2015010647) 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 1639584139.

Contact Information

	Rene L Revelle, CNP
	304a E 4th St, Eldon, MO 65026-1808
	(573) 557-2400
	(573) 557-2401

Map and Direction

Provider's Profile

Full Name	Rene L Revelle
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	304a E 4th St, Eldon, Missouri
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:

Rene L Revelle graduated from nursing school in 2014

NPI Data:

NPI Number: 1639584139
Provider Enumeration Date: 06/24/2014
Last Update Date: 06/29/2015

Medicare PECOS Information:

PECOS PAC ID: 6507082559
Enrollment ID: I20150713002005

Medical Identifiers

Medical identifiers for Rene L Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639584139	NPI	-	NPPES
0105747	Medicaid	OH
3810027971	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA15919NP (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	2015010647 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Regional Health System	Osage beach, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Regional Health System	9133026776	114

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. Rene L Revelle allows following entities to bill medicare on her behalf.

Entity Name	Lake Regional Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147

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. Rene L Revelle 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
Rene L Revelle, CNP Po Box 1500, Osage Beach, MO 65065-1500 Ph: () -	Rene L Revelle, CNP 304a E 4th St, Eldon, MO 65026-1808 Ph: (573) 557-2400

Reviews and Comments

Nurse Practitioner Nurses in Eldon, MO

Michael James Lewis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-552-5700 Fax: 573-557-2401
Julie L. Russell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 A East 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692
Kaydie Ann Dial, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654
Mrs. Lauren Nicole Freeze, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654
Laura M Thompson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-557-2400 Fax: 573-557-2401
Mrs. Lisa Ann Galeski, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Mill Street, Eldon, MO 65026 Phone: 844-853-8937 Fax: 417-350-1935
Josetta Eliese Wahwassuck, MSN, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 S Mill St, Eldon, MO 65026 Phone: 888-403-1071

Rene L Revelle, CNP - Medicare Nurse Practitioner in Eldon, MO