Zachary James Revert, PA-S is a medicare enrolled "Physician Assistant" in Trenton, South Carolina. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Broken Better Urgent Care Llc and his current practice location is
181 Courtney Rd, Trenton, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 275-7034.
Zachary James Revert is licensed to practice in * (Not Available) (license number ) 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 1134846876.
Provider's Profile
| Full Name | Zachary James Revert |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 181 Courtney Rd, Trenton, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Zachary James Revert graduated from nursing school in 2023
NPI Data:
- NPI Number: 1134846876
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264877281
- Enrollment ID: I20240229003207
Medical Identifiers
Medical identifiers for Zachary James Revert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134846876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Broken Better Urgent Care Llc | 0749541241 | 2 |
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. Zachary James Revert 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 |
Zachary James Revert, PA-S 181 Courtney Rd, Trenton, SC 29847-3103 Ph: (803) 275-7034 | Zachary James Revert, PA-S 181 Courtney Rd, Trenton, SC 29847-3103 Ph: (803) 275-7034 |
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