Dr John Sanford Evans, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Georgia. His current practice location is
1050 Mcdonough Rd, Jackson, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 775-7861.
Dr John Sanford Evans is licensed to practice in Georgia (license number 016508) 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 1144260878.
Physician's Profile
| Full Name | Dr John Sanford Evans |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1050 Mcdonough Rd, Jackson, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144260878
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 05/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 6103829106
- Enrollment ID: I20090519000680
Medical Identifiers
Medical identifiers for Dr John Sanford Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144260878 | NPI | - | NPPES |
| PENDING | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 016508 (Georgia) | 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 John Sanford Evans allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Coverage Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050418000414 |
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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 John Sanford 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 |
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Dr John Sanford Evans, MD
14050 Nw 14th St, Suite 190,
Sunrise, FL 33323-2865
Ph: (800) 424-3672 | Dr John Sanford Evans, MD
1050 Mcdonough Rd,
Jackson, GA 30233-1524
Ph: (770) 775-7861 |
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