Ryan Scott Evans, DO is a medicare enrolled "Internal Medicine" physician in Conneaut Lake, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Primary Care Services and his current practice location is
12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 382-0221.
Ryan Scott Evans is licensed to practice in Pennsylvania (license number OS016739) 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 1346508793.
Physician's Profile
Full Name | Ryan Scott Evans |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 12 Years |
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Location | 12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania |
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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:
- Ryan Scott Evans attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
NPI Data:
- NPI Number: 1346508793
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789821885
- Enrollment ID: I20150714001532
Medical Identifiers
Medical identifiers for Ryan Scott Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346508793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OT014474 (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | OS016739 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Primary Care Services | 0244452258 | 18 |
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. Ryan Scott Evans allows following entities to bill medicare on his behalf.
Entity Name | Primary Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962804955 PECOS PAC ID: 0244452258 Enrollment ID: O20141106001537 |
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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. Ryan Scott 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 |
Ryan Scott Evans, DO 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 382-0221 | Ryan Scott Evans, DO 12387 Conneaut Lake Rd, Conneaut Lake, PA 16316-4203 Ph: (814) 382-0221 |
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