Sandra Revak, FNP - Medicare Nurse Practitioner in Sewell, NJ

Sandra Revak, FNP is a medicare enrolled "Nurse Practitioner" in Sewell, New Jersey. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Virtua Medical Group, Pa and her current practice location is 239 Hurffville Crosskeys Rd, Suite 160, Sewell, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 341-8200.

Sandra Revak is licensed to practice in New Jersey (license number 26NJ00629600) 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 1508221870.

Contact Information

Sandra Revak, FNP
239 Hurffville Crosskeys Rd, Suite 160,
Sewell, NJ 08080-4002
(856) 341-8200
(856) 341-8212

Map and Direction




Provider's Profile

Full NameSandra Revak
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location239 Hurffville Crosskeys Rd, Sewell, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandra Revak graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1508221870
  • Provider Enumeration Date: 12/30/2015
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749572840
  • Enrollment ID: I20160711001682

Medical Identifiers

Medical identifiers for Sandra Revak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508221870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR15492200 (New Jersey)Secondary
363L00000XNurse Practitioner 26NJ00629600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virtua West Jersey HospitalsVoorhees, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Virtua Medical Group, Pa98302223971226

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. Sandra Revak allows following entities to bill medicare on her behalf.
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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. Sandra Revak 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
Sandra Revak, FNP
239 Hurffville Crosskeys Rd Ste 160,
Sewell, NJ 08080-4005

Ph: (856) 341-8200
Sandra Revak, FNP
239 Hurffville Crosskeys Rd, Suite 160,
Sewell, NJ 08080-4002

Ph: (856) 341-8200

Reviews and Comments


Nurse Practitioner Nurses in Sewell, NJ

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Phone: 856-582-0033    Fax: 856-582-2305
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Mrs. Lisa Elizabeth Pope, APN
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Practice Location: 555 Egg Harbor Rd, Sewell, NJ 08080
Phone: 856-582-2500    

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.