Dr Jared Dean Evans, DMD in Liberty Lake, WA

Dr Jared Dean Evans, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Liberty Lake, Washington. His current practice location is 1327 N Stanford Ln, Suite B, Liberty Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 891-7070.

Dr Jared Dean Evans is licensed to practice in Washington (license number DE00010191) 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 1306927892.

Contact Information

	Dr Jared Dean Evans, DMD
	1327 N Stanford Ln, Suite B, Liberty Lake, WA 99019-5034
	(509) 891-7070
	(509) 891-4741

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jared Dean Evans
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	1327 N Stanford Ln, Liberty Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306927892
Provider Enumeration Date: 10/18/2006
Last Update Date: 07/27/2012

Medicare PECOS Information:

PECOS PAC ID: 1850781022
Enrollment ID: I20211201002608

Medical Identifiers

Medical identifiers for Dr Jared Dean Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306927892	NPI	-	NPPES
5048236	Medicaid	WA
5050513	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	DE00010191 (Washington)	Primary
1223P0221X	Dentist - Pediatric Dentistry	DN16714 (Florida)	Secondary

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. Dr Jared Dean Evans allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Dr Jared Dean 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
Dr Jared Dean Evans, DMD 1327 N Stanford Ln, Suite B, Liberty Lake, WA 99019-5034 Ph: (509) 891-7070	Dr Jared Dean Evans, DMD 1327 N Stanford Ln, Suite B, Liberty Lake, WA 99019-5034 Ph: (509) 891-7070

Reviews and Comments

Dentist in Liberty Lake, WA

Dr. Michael Francis Casey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2712 N Chase Rd, Liberty Lake, WA 99019 Phone: 509-747-7134
Michelle Renee Olmstead, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2207 N Molter Rd, Suite 200, Liberty Lake, WA 99019 Phone: 509-891-5001 Fax: 509-891-2787
Dr. Carrie Lynn Ayer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 21801 E Country Vista Dr Ste 105, Liberty Lake, WA 99019 Phone: 509-926-5272
Dr. Marc James Soelberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1327 N Stanford Ln, Liberty Lake, WA 99019 Phone: 509-891-7070
Brian Thomas Macall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 22011 E Country Vista Dr Ste 201, Liberty Lake, WA 99019 Phone: 509-927-9279
Cameron Simonds, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22106 E Country Vista Dr, Suite D, Liberty Lake, WA 99019 Phone: 509-893-1119

Dr Jared Dean Evans, DMD - Medicare Dentist in Liberty Lake, WA