Revision Health Services, Pllc - Medicare in Ponte Vedra, FL

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Revision Health Services, Pllc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Ponte Vedra, Florida. Their current practice location is 131 Valley Grove Dr, Ponte Vedra, Florida. You can reach out to their office (for appointments etc.) via phone at (309) 267-9873.

Revision Health Services, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revision Health Services, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1659994911.

Contact Information

Revision Health Services, Pllc
131 Valley Grove Dr,
Ponte Vedra, FL 32081-6165
(309) 267-9873
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRevision Health Services, Pllc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location131 Valley Grove Dr, Ponte Vedra, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659994911
  • Provider Enumeration Date: 05/21/2020
  • Last Update Date: 05/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981026523
  • Enrollment ID: O20200626001841

Medical Identifiers

Medical identifiers for Revision Health Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659994911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revision Health Services, Pllc acts as a billing entity for following providers:
Provider NameMichael Derry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285015024
PECOS PAC ID: 2163738790
Enrollment ID: I20200630000462
Provider NameJackie B Blankenship
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174208151
PECOS PAC ID: 6901269885
Enrollment ID: I20230824002629
Provider NameChristopher Pregony
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639945447
PECOS PAC ID: 4789034562
Enrollment ID: I20231219003477
Provider NameHannah Rawlings
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508330200
PECOS PAC ID: 3274905666
Enrollment ID: I20240523001632
Provider NameJeb Kincannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831964980
PECOS PAC ID: 2062921869
Enrollment ID: I20250603002721

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. Revision Health Services, Pllc 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
Revision Health Services, Pllc
908 W 1st St,
Spring Valley, IL 61362-1135

Ph: (309) 267-9873		Revision Health Services, Pllc
131 Valley Grove Dr,
Ponte Vedra, FL 32081-6165

Ph: (309) 267-9873

Reviews and Comments



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.

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