Evangeline Cua Gan, MD in Everett, WA - Medicare Internal Medicine

Evangeline Cua Gan, MD is a medicare enrolled "Internal Medicine" physician in Everett, Washington. Her current practice location is 12800 Bothell-everett Hwy, Suite 190, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 316-5160.

Evangeline Cua Gan is licensed to practice in Washington (license number MD00035936) 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 1376644351.

Contact Information

	Evangeline Cua Gan, MD
	12800 Bothell-everett Hwy, Suite 190, Everett, WA 98208-6644
	(425) 316-5160
	(425) 225-1005

Map and Direction

Physician's Profile

Full Name	Evangeline Cua Gan
Gender	Female
Speciality	Internal Medicine
Location	12800 Bothell-everett Hwy, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376644351
Provider Enumeration Date: 09/25/2006
Last Update Date: 05/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7012070394
Enrollment ID: I20090113000361

Medical Identifiers

Medical identifiers for Evangeline Cua Gan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376644351	NPI	-	NPPES
8231037	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00035936 (Washington)	Secondary
207R00000X	Internal Medicine	MD00035936 (Washington)	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. Evangeline Cua Gan allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

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. Evangeline Cua Gan 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
Evangeline Cua Gan, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983	Evangeline Cua Gan, MD 12800 Bothell-everett Hwy, Suite 190, Everett, WA 98208-6644 Ph: (425) 316-5160

Reviews and Comments

Internal Medicine Doctors in Everett, WA

Timothy Edward Mcnamara, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway, Suite A3, Everett, WA 98201 Phone: 425-317-0300 Fax: 425-317-0303
Dr. Madhurina Roy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9505 19th Ave Se, Ste 100, Everett, WA 98208 Phone: 425-225-6721 Fax: 425-225-6725
Dr. Kavyashri Kodlipet Jagadeesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave Ste 210, Everett, WA 98201 Phone: 425-261-4940 Fax: 425-261-4932
Amy D Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515
Ya-lan Huang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-6801 Fax: 425-258-1944
Mahesh Mulumudi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411
James M Schmitt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12728 19th Ave Se, Suite 200, Everett, WA 98208 Phone: 425-225-2700 Fax: 425-225-2790

Evangeline Cua Gan, MD - Medicare Internal Medicine in Everett, WA