Paul Andrew Evangelisti, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sumter, South Carolina. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Sumter Ear Nose Throat And Facial Plastic Surgery Llc and his current practice location is
100 N Sumter St, Suite 400, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 778-5970.
Paul Andrew Evangelisti is licensed to practice in South Carolina (license number 22833) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982625745.
Physician's Profile
Full Name | Paul Andrew Evangelisti |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 24 Years |
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Location | 100 N Sumter St, Sumter, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Paul Andrew Evangelisti graduated from medical school in 2000
NPI Data:
- NPI Number: 1982625745
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274581749
- Enrollment ID: I20080722000644
Medical Identifiers
Medical identifiers for Paul Andrew Evangelisti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982625745 | NPI | - | NPPES |
GP2894 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 22833 (South Carolina) | Primary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 22833 (South Carolina) | Primary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 22833 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sumter Ear Nose Throat And Facial Plastic Surgery Llc | 2062471451 | 2 |
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. Paul Andrew Evangelisti allows following entities to bill medicare on his behalf.
Entity Name | Sumter Ear Nose Throat & Facial Plastic Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285679290 PECOS PAC ID: 2062471451 Enrollment ID: O20041011000379 |
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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. Paul Andrew Evangelisti 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 |
Paul Andrew Evangelisti, MD 100 N Sumter St, Suite 400, Sumter, SC 29150-4916 Ph: (803) 778-5970 | Paul Andrew Evangelisti, MD 100 N Sumter St, Suite 400, Sumter, SC 29150-4916 Ph: (803) 778-5970 |
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