Jonathan G Evans, MD | |
100 Foden Rd Ste 103, South Portland, ME 04106-2327 | |
(207) 828-1122 | |
Not Available |
Full Name | Jonathan G Evans |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 36 Years |
Location | 100 Foden Rd Ste 103, South Portland, Maine |
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 |
---|---|---|---|
1568460640 | NPI | - | NPPES |
621632725 | Other | TN | TAX ID |
64014905 | Medicaid | KY | |
3076519 | Medicaid | TN | |
621701777 | Other | TN | TAX ID |
Facility Name | Location | Facility Type |
---|---|---|
Tristar Skyline Medical Center | Nashville, TN | Hospital |
Northcrest Medical Center | Springfield, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crossroads Medical Group, Pllc | 3779544895 | 22 |
Chest Medicine Associates Pa | 0547258931 | 23 |
Mainegeneral Medical Center | 1254245715 | 489 |
Entity Name | Crossroads Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073539607 PECOS PAC ID: 3779544895 Enrollment ID: O20071203000721 |
Mailing Address | Practice Location Address |
---|---|
Jonathan G Evans, MD 3443 Dickerson Pike, Suite 680, Nashville, TN 37207-2519 Ph: (615) 865-3322 | Jonathan G Evans, MD 100 Foden Rd Ste 103, South Portland, ME 04106-2327 Ph: (207) 828-1122 |
Dr. Jonathan B Zuckerman, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Road, West Building Suite 103, South Portland, ME 04106 Phone: 207-828-1122 Fax: 207-828-0188 | |
Laureen A Biczak, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, Ste 3, South Portland, ME 04106 Phone: 207-774-5816 Fax: 207-523-8594 | |
Pamela Egan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave Ste 2, South Portland, ME 04106 Phone: 207-661-0200 | |
Lucy Rosenbaum, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 75 John Roberts Rd Bldg B, South Portland, ME 04106 Phone: 207-775-4151 | |
Dr. Christopher G Tretter, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Mainehealth Cancer Care, 265 Western Ave Suite 2, South Portland, ME 04106 Phone: 207-661-0200 | |
Dr. Emily V Wood, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, Ste 3, South Portland, ME 04106 Phone: 207-774-5816 Fax: 207-523-8594 | |
Dr. Daniel J Diekema, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr, South Portland, ME 04106 Phone: 207-661-7901 |