Dr Kathleen Ann Evans, DDS is a
Dentist - General Practice based in Fly Creek, New York. Dr Kathleen Ann Evans is licensed to practice in New York (license number 045660) and her current practice location is
6411 State Highway 28, Fly Creek, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 547-1291.
NPI number for Dr Kathleen Ann Evans is 1609125533 and her current mailing address is 6411 State Highway 28, Fly Creek, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609125533.
Healthcare Provider's Profile
Full Name | Dr Kathleen Ann Evans |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 6411 State Highway 28, Fly Creek, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609125533
- Provider Enumeration Date: 09/06/2012
- Last Update Date: 09/06/2012
Medical Identifiers
Medical identifiers for Dr Kathleen Ann Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609125533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 045660 (New York) | Primary |
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 Kathleen Ann Evans is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kathleen Ann Evans, DDS 6411 State Highway 28, Fly Creek, NY 13337-3007 Ph: (607) 547-1291 | Dr Kathleen Ann Evans, DDS 6411 State Highway 28, Fly Creek, NY 13337-3007 Ph: (607) 547-1291 |
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