Dr Evan Charles Delancey, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dearborn, Michigan. His current practice location is
18101 Oakwood Blvd, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at
(870) 549-2207.
Dr Evan Charles Delancey is licensed to practice in * (Not Available) (license number ) 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 1043892581.
Physician's Profile
Full Name | Dr Evan Charles Delancey |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 18101 Oakwood Blvd, Dearborn, Michigan |
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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: 1043892581
- Provider Enumeration Date: 04/23/2021
- Last Update Date: 08/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416336086
- Enrollment ID: I20220628002385
Medical Identifiers
Medical identifiers for Dr Evan Charles Delancey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043892581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 621854358 (Tennessee) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Evan Charles Delancey 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 Evan Charles Delancey, DO 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: () - | Dr Evan Charles Delancey, DO 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (870) 549-2207 |
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