Kelly L Evans, MD in Bellingham, WA - Medicare Family Practice

Kelly L Evans, MD is a medicare enrolled "Family Medicine" physician in Bellingham, Washington. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Super Track Urgent Care Llc and her current practice location is 4545 Cordata Pkwy, Bellingham, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 738-2200.

Kelly L Evans is licensed to practice in Washington (license number MD60114770) 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 1700887338.

Contact Information

	Kelly L Evans, MD
	4545 Cordata Pkwy, Bellingham, WA 98226-7123
	(360) 738-2200
	(360) 752-5686

Map and Direction

Physician's Profile

Full Name	Kelly L Evans
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	4545 Cordata Pkwy, Bellingham, Washington
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:

Kelly L Evans graduated from medical school in 1995

NPI Data:

NPI Number: 1700887338
Provider Enumeration Date: 08/04/2005
Last Update Date: 09/22/2010

Medicare PECOS Information:

PECOS PAC ID: 2860480878
Enrollment ID: I20100703000013

Medical Identifiers

Medical identifiers for Kelly L Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700887338	NPI	-	NPPES
1700887338	Medicaid	WA
036096988	Medicaid	IL
0031EV	Other	WA	REGENCE
0261814	Other	WA	L&I AND CRIME VICTIMS
5827708	Other	WA	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	36096988 (Illinois)	Secondary
207Q00000X	Family Medicine	MD60114770 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Super Track Urgent Care Llc	7618243296	3

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. Kelly L Evans allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062

Entity Name	Mahnaz Lary Md Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083960751 PECOS PAC ID: 1355592759 Enrollment ID: O20121113000024

Entity Name	Super Track Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598289027 PECOS PAC ID: 7618243296 Enrollment ID: O20171026000987

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. Kelly L 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
Kelly L Evans, MD Po Box 5096, Bellingham, WA 98227-5096 Ph: (360) 738-2200	Kelly L Evans, MD 4545 Cordata Pkwy, Bellingham, WA 98226-7123 Ph: (360) 738-2200

Reviews and Comments

Family Medicine Doctors in Bellingham, WA

Mark Steven Mcgrath, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 10th St Ste 104, Bellingham, WA 98225 Phone: 360-594-0592 Fax: 360-526-2165
Dr. Kellie L. Jacobs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Orchard Pl, Bellingham, WA 98225 Phone: 360-671-3900 Fax: 360-647-0882
Lora C Sherman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 Fax: 360-671-0000
Dr. Jessica Ruth Hanford, M.D., MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Squalicum Parkway, Suite 220, Bellingham, WA 98225 Phone: 360-676-1693 Fax: 360-676-5458
Elijah Kamermans, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2608 Kwina Rd, Bellingham, WA 98226 Phone: 360-312-2000
Dr. Warren Billings Howe, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225 Phone: 360-650-3400 Fax: 360-650-3883
Gabrielle Worzella, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Unity St, Bellingham, WA 98225 Phone: 360-676-6177 Fax: 360-671-3574

Kelly L Evans, MD - Medicare Family Practice in Bellingham, WA