Bradley Evanson, in St George, UT - Medicare Dermatology

Bradley Evanson, is a medicare enrolled "Dermatology" physician in St George, Utah. His current practice location is 383 S 300 E, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 628-2826.

Bradley Evanson is licensed to practice in Utah (license number 12603519-1205) 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 1689069312.

Contact Information

	Bradley Evanson,
	383 S 300 E, St George, UT 84770-3620
	(435) 628-2826
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley Evanson
Gender	Male
Speciality	Dermatology
Location	383 S 300 E, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689069312
Provider Enumeration Date: 03/31/2015
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5698096931
Enrollment ID: I20220726002761

Medical Identifiers

Medical identifiers for Bradley Evanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689069312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	S1396 (Texas)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	12603519-1205 (Utah)	Secondary
207N00000X	Dermatology	12603519-1205 (Utah)	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. Bradley Evanson allows following entities to bill medicare on his behalf.

Entity Name	Southwest Skin And Cancer Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619929783 PECOS PAC ID: 4587675004 Enrollment ID: O20060518000051

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. Bradley Evanson 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
Bradley Evanson, 383 S 300 E, St George, UT 84770-3620 Ph: (354) 628-2826	Bradley Evanson, 383 S 300 E, St George, UT 84770-3620 Ph: (435) 628-2826

Reviews and Comments

Dermatology Doctors in St George, UT

Mr. Damion D. Rodeback, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1449 N 1400 W Ste 22, St George, UT 84770 Phone: 435-703-9296 Fax: 435-215-4075
Dr. Benjamin Gill Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1068 E Riverside Dr, St George, UT 84790 Phone: 435-628-6466 Fax: 435-628-3845
W Bret Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 383 S 300 E, St George, UT 84770 Phone: 435-628-2826 Fax: 435-628-2839
Dr. Bruce Grant Lyman Bishop, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 552 N Dixie Dr, St George, UT 84770 Phone: 435-703-9296
Dr. Karl Kirk Trimble, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 169 W 2710 South Cir Ste 101, St George, UT 84790 Phone: 435-674-3552 Fax: 435-674-5905
Robin Berger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S, Suite 1, St George, UT 84770 Phone: 435-673-7546 Fax: 435-673-7554
Dr. Marie S Tuttle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 300, St George, UT 84790 Phone: 435-251-3670

Bradley Evanson, - Medicare Dermatology in St George, UT