Dr Carl R Evans, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fredericksburg, Texas. His current practice location is
1006 Hwy 16 S, Ste G, Fredericksburg, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 997-1317.
Dr Carl R Evans is licensed to practice in Texas (license number G2957) 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 1922004175.
Physician's Profile
Full Name | Dr Carl R Evans |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 1006 Hwy 16 S, Fredericksburg, Texas |
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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: 1922004175
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 03/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 0042247637
- Enrollment ID: I20050726000341
Medical Identifiers
Medical identifiers for Dr Carl R Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922004175 | NPI | - | NPPES |
134411101 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G2957 (Texas) | 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. Dr Carl R Evans allows following entities to bill medicare on his behalf.
Entity Name | Pathology Associates Of San Antonio, L.l.p. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407844848 PECOS PAC ID: 0648252155 Enrollment ID: O20040607000900 |
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Entity Name | Foundations, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528057346 PECOS PAC ID: 7315981214 Enrollment ID: O20050613000217 |
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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. Dr Carl R 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 Carl R Evans, MD 476 Summit Cir, Fredericksburg, TX 78624-5032 Ph: (830) 990-4378 | Dr Carl R Evans, MD 1006 Hwy 16 S, Ste G, Fredericksburg, TX 78624-4474 Ph: (830) 997-1317 |
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