Evan Reed Sobiesk, in Hattiesburg, MS - Medicare Dentist Provider

Evan Reed Sobiesk, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Hattiesburg, Mississippi. His current practice location is 1421 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 264-7611.

Evan Reed Sobiesk is licensed to practice in Mississippi (license number 4160-20) 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 1801416219.

Contact Information

	Evan Reed Sobiesk,
	1421 S 28th Ave, Hattiesburg, MS 39402-3108
	(601) 264-7611
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Reed Sobiesk
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1421 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801416219
Provider Enumeration Date: 04/26/2020
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6002354552
Enrollment ID: I20240814004189

Medical Identifiers

Medical identifiers for Evan Reed Sobiesk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801416219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	4160-20 (Mississippi)	Primary
122300000X	Dentist	4160-20 (Mississippi)	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. Evan Reed Sobiesk allows following entities to bill medicare on his behalf.

Entity Name	Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578596060 PECOS PAC ID: 2163501602 Enrollment ID: O20080508000373

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Evan Reed Sobiesk 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
Evan Reed Sobiesk, 1421 S 28th Ave, Hattiesburg, MS 39402-3108 Ph: (601) 264-7611	Evan Reed Sobiesk, 1421 S 28th Ave, Hattiesburg, MS 39402-3108 Ph: (601) 264-7611

Reviews and Comments

Dentist in Hattiesburg, MS

Dr. Mitchell Morris Guess, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 68 King Rd, Hattiesburg, MS 39402 Phone: 601-264-7112
Dr. Jennifer Ingels Hughes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 114 N 40th Ave, Suite G, Hattiesburg, MS 39401 Phone: 601-261-5541 Fax: 601-261-5542
Dr. Griffin Harold West, D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 1421 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-264-7611
Dr. Meredith Gray Lucas, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6657 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-264-0537
Letasia Poyadou, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5128 Old Highway 11, Suite 11, Hattiesburg, MS 39402 Phone: 601-602-8083
John Davis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7100 Highway 98, Suite 210, Hattiesburg, MS 39402 Phone: 601-255-4546
Matthew Louis Guillot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 49 Cross Creek Pkwy, Hattiesburg, MS 39402 Phone: 601-264-5800 Fax: 601-450-0064

Evan Reed Sobiesk, - Medicare Dentist in Hattiesburg, MS