Dr Jack C Evans, MD in Laurel, MS - Medicare Family Practice

Dr Jack C Evans, MD is a medicare enrolled "Family Medicine" physician in Laurel, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice South Central Clinics, Inc and his current practice location is 1440 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 428-0577.

Dr Jack C Evans is licensed to practice in Mississippi (license number 09103) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396784187.

Contact Information

	Dr Jack C Evans, MD
	1440 Jefferson St, Laurel, MS 39440-4243
	(601) 428-0577
	(601) 649-7962

Map and Direction

Physician's Profile

Full Name	Dr Jack C Evans
Gender	Male
Speciality	Family Practice
Experience	44 Years
Location	1440 Jefferson St, Laurel, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack C Evans attended and graduated from University Of Mississippi School Of Medicine in 1980

NPI Data:

NPI Number: 1396784187
Provider Enumeration Date: 06/06/2006
Last Update Date: 02/11/2014

Medicare PECOS Information:

PECOS PAC ID: 3678588993
Enrollment ID: I20060208000213

Medical Identifiers

Medical identifiers for Dr Jack C Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396784187	NPI	-	NPPES
00014780	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	09103 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Comfortcare Home Health	Laurel, MS	Home health agency
Deaconess Homecare- Region 1	Laurel, MS	Home health agency
Amedisys Home Health Of Collins	Collins, MS	Home health agency
Forrest General Home Care	Hattiesburg, MS	Home health agency
Comfortcare Hospice	Laurel, MS	Hospice
South Central Reg Med Ctr	Laurel, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Clinics, Inc	4385876655	100

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 Jack C Evans allows following entities to bill medicare on his behalf.

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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 Jack C 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 Jack C Evans, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167	Dr Jack C Evans, MD 1440 Jefferson St, Laurel, MS 39440-4243 Ph: (601) 428-0577

Reviews and Comments

Family Medicine Doctors in Laurel, MS

Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628
Dr. Mona Genelle Pernia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281
Callissa G Ladner, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1706 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 Fax: 601-649-7805
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827

Dr Jack C Evans, MD - Medicare Family Practice in Laurel, MS