Fredy Jesus Revilla is a Greenville, South Carolina based neurologist with 31 years of experience in Neurology. He completed his graduation in 1993. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Fredy Jesus Revilla is 37641 for Neurology in South Carolina. His current practice location is 200 Patewood Dr Ste B350, Greenville. Patients can reach him at 864-454-4500 or can fax him at 864-454-4505. Fredy Jesus Revilla is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1760418610. Fredy Jesus Revilla specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Fredy Jesus Revilla speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Fredy Jesus Revilla
Specialization:
Neurology
Gender:
Male
Credentials:
M.D.
Experience:
31+ years
Medical School Attended:
Other
Graduation Year:
1993
Accepts Medicare Assignment:
Yes
Practice Address:
200 Patewood Dr Ste B350, Greenville, South Carolina, 29615-6337
Phone:
864-454-4500
Fax:
864-454-4505
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799671764
Enrollment ID:
I20150216001032
NPI Number:
1760418610
NPI Enumeration Date:
23 Jun, 2006
NPI Last Update On:
29 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fredy Jesus Revilla are as mentioned below.
License Number
Specialization
State
Status
37641
Neurology
South Carolina
Primary
35083417
Neurology
Ohio
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(420078)
Greenville, SC
Acute Care Hospital
(420033)
Greer, SC
Acute Care Hospital
(420102)
Greenville, SC
Acute Care Hospital
(420007)
Spartanburg, SC
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Fredy Jesus Revilla is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Prisma Health University Medical Group (8325950983)
2095
Other Medical Identifiers:
Other legacy medical identifiers associated with Fredy Jesus Revilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2463614
Medicaid
Ohio
376417
Medicaid
South Carolina
P00113175
Other
Ohio
MEDICARE RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fredy Jesus Revilla 300 E Mcbee Ave Fl 4, Greenville, South Carolina
Zip:
29601-2842
Phone Number:
864-522-8603
Patients can reach Fredy Jesus Revilla at 200 Patewood Dr Ste B350, Greenville, South Carolina or can call to book an appointment on 864-454-4500.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.