Evanna Proctor, MD in Jackson, TN - Medicare Internal Medicine

Evanna Proctor, MD is a medicare enrolled "Internal Medicine" physician in Jackson, Tennessee. She went to Medical College Of Pennsylvania and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Jackson Clinic Pa and her current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 422-0213.

Evanna Proctor is licensed to practice in Tennessee (license number MD29082) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275500274.

Contact Information

	Evanna Proctor, MD
	620 Skyline Dr, Jackson, TN 38301-3923
	(731) 422-0213
	(731) 422-5743

Map and Direction

Physician's Profile

Full Name	Evanna Proctor
Gender	Female
Speciality	Internal Medicine
Experience	30 Years
Location	620 Skyline Dr, Jackson, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evanna Proctor attended and graduated from Medical College Of Pennsylvania in 1994

NPI Data:

NPI Number: 1275500274
Provider Enumeration Date: 03/08/2006
Last Update Date: 10/09/2017

Medicare PECOS Information:

PECOS PAC ID: 1052454428
Enrollment ID: I20100208000124

Medical Identifiers

Medical identifiers for Evanna Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275500274	NPI	-	NPPES
3810262	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD29082 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tennessee Quality Hospice	Jackson, TN	Hospice
Jackson-madison County General Hospital	Jackson, TN	Hospital
Baptist Memorial Hospital Union City	Union city, TN	Hospital
Ahc West Tennessee Transitional Care	Jackson, TN	Nursing home
Maplewood Health Care Center	Jackson, TN	Nursing home
Ahc Forest Cove	Jackson, TN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Clinic Pa	2668376872	179

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. Evanna Proctor allows following entities to bill medicare on her behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

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. Evanna Proctor 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
Evanna Proctor, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697	Evanna Proctor, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 422-0213

Reviews and Comments

Internal Medicine Doctors in Jackson, TN

John Baker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-421-6510 Fax: 731-421-6500
Dr. Susan Alex, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305 Phone: 731-668-4337 Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8336
Kpienoba Manan Hien, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Lucas Carver, Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Dr. Clyde E Smith, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001
Brittain Douglas Little, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388

Evanna Proctor, MD - Medicare Internal Medicine in Jackson, TN