John Herbert Evans, DO is a medicare enrolled "Family Medicine - Addiction Medicine" provider in Saginaw, Michigan. His current practice location is
508 Shattuck Rd, Saginaw, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 752-7867.
John Herbert Evans is licensed to practice in Michigan (license number 5101008000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154509172.
Healthcare Provider's Profile
Full Name | John Herbert Evans |
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Gender | Male |
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Speciality | Family Medicine - Addiction Medicine |
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Location | 508 Shattuck Rd, Saginaw, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154509172
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 02/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830273911
- Enrollment ID: I20080227000829
Medical Identifiers
Medical identifiers for John Herbert Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154509172 | NPI | - | NPPES |
5304000283 | Other | MI | DRUG TREATMENT PROGRAM PRESCRIBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 5101008000 (Michigan) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 5101008000 (Michigan) | Primary |
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. John Herbert Evans allows following entities to bill medicare on his behalf.
Entity Name | Victory Clinical Services Lansing |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861627507 PECOS PAC ID: 4082932074 Enrollment ID: O20150423002525 |
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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. John Herbert Evans 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 |
John Herbert Evans, DO 508 Shattuck Rd, Saginaw, MI 48604-2329 Ph: (989) 752-7867 | John Herbert Evans, DO 508 Shattuck Rd, Saginaw, MI 48604-2329 Ph: (989) 752-7867 |
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