Revonda Lashawn Jessup, DPM in Gastonia, NC - Medicare Podiatry Provider

Revonda Lashawn Jessup, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Gastonia, North Carolina. She went to Temple University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Gaston Family Health Services Inc and her current practice location is 2721 X Ray Dr, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 874-2255.

Revonda Lashawn Jessup is licensed to practice in North Carolina (license number 505) 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 1235346172.

Contact Information

	Revonda Lashawn Jessup, DPM
	2721 X Ray Dr, Gastonia, NC 28054-7491
	(704) 874-2255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Revonda Lashawn Jessup
Gender	Female
Speciality	Podiatry
Experience	20 Years
Location	2721 X Ray Dr, Gastonia, North Carolina
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:

Revonda Lashawn Jessup attended and graduated from Temple University School Of Medicine in 2004

NPI Data:

NPI Number: 1235346172
Provider Enumeration Date: 05/17/2007
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7214021989
Enrollment ID: I20070926000222

Medical Identifiers

Medical identifiers for Revonda Lashawn Jessup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235346172	NPI	-	NPPES
NPD505	Medicaid	SC
6024065	Other	NC	CIGNA
081CP	Other	NC	BCBS
1551892	Other	NC	AETNA
197970	Other	NC	MEDCOST
5907484	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	505 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gaston Family Health Services Inc	5496733925	77

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. Revonda Lashawn Jessup allows following entities to bill medicare on her behalf.

Provider Name	Gaston Family Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

Provider Name	Jessup Foot And Ankle Specialists, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265733687 PECOS PAC ID: 3274718952 Enrollment ID: O20110421000793

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. Revonda Lashawn Jessup 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
Revonda Lashawn Jessup, DPM 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1936	Revonda Lashawn Jessup, DPM 2721 X Ray Dr, Gastonia, NC 28054-7491 Ph: (704) 874-2255

Reviews and Comments

Podiatrist in Gastonia, NC

Mr. John Kersey Throckmorton, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 111 E 3rd Ave, Gastonia, NC 28052 Phone: 704-874-3300 Fax: 704-874-0065
Melanie Eubanks, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1421a E Franklin Blvd, Gastonia, NC 28054 Phone: 704-674-9272
Mr. Robert Christopher Olson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2345 Court Drive, Gastonia, NC 28054 Phone: 704-865-0077 Fax: 704-867-6401
Dr. David Russell Kirlin I, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274
Dr. Wagner Gilbert Santiago, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274
Dr. Randall J Contento, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425

Revonda Lashawn Jessup, DPM - Medicare Podiatrist in Gastonia, NC