Delaina Evans, FNP-BC in O Fallon, MO - Medicare Nurse Practitioner

Delaina Evans, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Missouri. Her current practice location is 460 Wild Oak Dr, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 755-9151.

Delaina Evans is licensed to practice in Missouri (license number 2014034365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417682824.

Contact Information

	Delaina Evans, FNP-BC
	460 Wild Oak Dr, O Fallon, MO 63368-7464
	(314) 755-9151
	Not Available

Map and Direction

Provider's Profile

Full Name	Delaina Evans
Gender	Female
Speciality	Nurse Practitioner - Family
Location	460 Wild Oak Dr, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417682824
Provider Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2668856816
Enrollment ID: I20220907001704

Medical Identifiers

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

Identifier	Type	State	Issuer
1417682824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2014034365 (Missouri)	Primary

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. Delaina Evans allows following entities to bill medicare on her behalf.

Entity Name	American Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058

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. Delaina 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
Delaina Evans, FNP-BC 460 Wild Oak Dr, O Fallon, MO 63368-7464 Ph: (314) 755-9151	Delaina Evans, FNP-BC 460 Wild Oak Dr, O Fallon, MO 63368-7464 Ph: (314) 755-9151

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401

Delaina Evans, FNP-BC - Medicare Nurse Practitioner in O Fallon, MO