Justin Colin Everson, MMS, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Lutherville, Maryland. His current practice location is
10755 Falls Rd Ste 160, Lutherville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 583-2777.
Justin Colin Everson is licensed to practice in Maryland (license number C0004855) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457604944.
Physician's Profile
Full Name | Justin Colin Everson |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 10755 Falls Rd Ste 160, Lutherville, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457604944
- Provider Enumeration Date: 10/21/2012
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739331398
- Enrollment ID: I20121205000108
Medical Identifiers
Medical identifiers for Justin Colin Everson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457604944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0401X | Internal Medicine - Addiction Medicine | C0004855 (Maryland) | Secondary |
363AM0700X | Physician Assistant - Medical | C0004855 (Maryland) | Primary |
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. Justin Colin Everson 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 |
Justin Colin Everson, MMS, PA-C Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 Ph: (410) 642-2411 | Justin Colin Everson, MMS, PA-C 10755 Falls Rd Ste 160, Lutherville, MD 21093-4588 Ph: (410) 583-2777 |
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