Dr Stacey Lane Evans, MD in Memphis, TN

Dr Stacey Lane Evans, MD is a medicare enrolled "Hospitalist" physician in Memphis, Tennessee. Her current practice location is 848 Adams Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 606-9802.

Dr Stacey Lane Evans is licensed to practice in Tennessee (license number 0000050568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366732893.

Contact Information

	Dr Stacey Lane Evans, MD
	848 Adams Ave, Memphis, TN 38103-2816
	(901) 606-9802
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stacey Lane Evans
Gender	Female
Speciality	Hospitalist
Location	848 Adams Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366732893
Provider Enumeration Date: 04/18/2011
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6103064852
Enrollment ID: I20140108001445

Medical Identifiers

Medical identifiers for Dr Stacey Lane Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366732893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	50568 (Tennessee)	Secondary
208M00000X	Hospitalist	0000050568 (Tennessee)	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 Stacey Lane Evans allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Emergency Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760482434 PECOS PAC ID: 7810800679 Enrollment ID: O20031107000315

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 Stacey Lane 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 Stacey Lane Evans, MD 50 N Dunlap St, Memphis, TN 38103-2800 Ph: () -	Dr Stacey Lane Evans, MD 848 Adams Ave, Memphis, TN 38103-2816 Ph: (901) 606-9802

Reviews and Comments

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Dr Stacey Lane Evans, MD - Medicare Hospitalist in Memphis, TN