Dr Jrichard Lee Evanson, DO | |
300 W Hospital Road, Room 11c17 Attn: Office Of Gme, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | |
(706) 787-4657 | |
(706) 787-1745 |
Full Name | Dr Jrichard Lee Evanson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 16 Years |
Location | 300 W Hospital Road, Room 11c17 Attn: Office Of Gme, Fort Gordon, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003072604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 63653 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charlin Healthcare Services Inc | Plano, TX | Home health agency |
Baylor Scott & White Medical Center - Frisco | Frisco, TX | Hospital |
Texoma Medical Center | Denison, TX | Hospital |
Medical City Plano | Plano, TX | Hospital |
Dallas Regional Medical Center | Mesquite, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Star Orthopedic Institute Llc | 7618392424 | 22 |
Entity Name | Posmc, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932551413 PECOS PAC ID: 3375822877 Enrollment ID: O20161123001700 |
Entity Name | Texas Star Orthopedic Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184285116 PECOS PAC ID: 7618392424 Enrollment ID: O20200810002755 |
Mailing Address | Practice Location Address |
---|---|
Dr Jrichard Lee Evanson, DO 300 W Hospital Road, Room 11c17, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 Ph: (706) 787-4657 | Dr Jrichard Lee Evanson, DO 300 W Hospital Road, Room 11c17 Attn: Office Of Gme, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 Ph: (706) 787-4657 |
Dr. Craig D Cameron, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Orthopaedic Surgery Clinic, Fort Gordon, GA 30905 Phone: 706-787-2300 Fax: 706-787-8176 | |
Dr. Anton Peter Lacap, M.D., M.P.H. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 East Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-9234 | |
Dr. Frederick Paul Obrien Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 East Hospital Rd, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-5811 | |
Dr. Kelly Davison, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 East Hospital Road, Orthopaedic Surgery, Fort Gordon, GA 30905 Phone: 706-787-1859 | |
Dr. Jose J. Miranda, M.D., M.P.H. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd Rm 11c17, Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-4657 Fax: 706-787-1745 | |
Dr. Justin Jay Reagh, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 East Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-5811 |