Revaz Boukia, PA-C - Medicare Physician Assistant in Ashland, OR

  1. Home
  2. Physician Assistant
  3. OR
  4. Ashland
Revaz Boukia, PA-C is a medicare enrolled "Physician Assistant" in Ashland, Oregon. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Edwards Bell Md Pc, Asante and his current practice location is 280 Maple St, Ashland, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 201-4000.

Revaz Boukia is licensed to practice in Oregon (license number PA228829) 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 1144638859.

Contact Information

Revaz Boukia, PA-C
280 Maple St,
Ashland, OR 97520-1552
(541) 201-4000
(541) 488-7437

Map and Direction




Provider's Profile

Full NameRevaz Boukia
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location280 Maple St, Ashland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Revaz Boukia graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1144638859
  • Provider Enumeration Date: 07/25/2014
  • Last Update Date: 05/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4587885371
  • Enrollment ID: I20230131001739

Medical Identifiers

Medical identifiers for Revaz Boukia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144638859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA228829 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Nevada Medical CenterSparks, NVHospital
Asante Rogue Regional Medical CenterMedford, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edwards Bell Md Pc39710861587
Asante0547177321141

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. Revaz Boukia allows following entities to bill medicare on his behalf.
Entity NameEds-i Homansky Practices of Nevada PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720540628
PECOS PAC ID: 2062635378
Enrollment ID: O20190625001407
Entity NameEdwards Bell MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740157098
PECOS PAC ID: 3971086158
Enrollment ID: O20260316003185

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. Revaz Boukia 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 AddressPractice Location Address
Revaz Boukia, PA-C
2825 E Barnett Rd, Mss,
Medford, OR 97504-8332

Ph: (541) 789-4281		Revaz Boukia, PA-C
280 Maple St,
Ashland, OR 97520-1552

Ph: (541) 201-4000

Reviews and Comments


Physician Assistant Nurses in Ashland, OR

Laura Buckley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 99 Central Ave, Ashland, OR 97520
Phone: 541-482-7799    
Dorothy K Miner, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 935 Siskiyou Blvd, Ashland, OR 97520
Phone: 541-488-4217    Fax: 541-482-1224
Christopher R Sturdevant, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1801 Hwy 99 N, Ste 2, Ashland, OR 97520
Phone: 541-488-4464    Fax: 541-488-3772
Jennifer Ingrid Beaudoin, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 99 Central Ave, Ashland, OR 97520
Phone: 541-482-9741    Fax: 541-488-6141
Jay Panchal,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 560 Catalina Dr Ste 200, Ashland, OR 97520
Phone: 541-201-4800    Fax: 541-201-4815
Alexandra Elizabeth Stout, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 99 Central Ave, Ashland, OR 97520
Phone: 541-482-9741    Fax: 541-488-6141

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.