Douglas Houseman Evans, PMHNP-BC | |
100 Garnet Way, Warm Springs, MT 59756 | |
(406) 693-7300 | |
Not Available |
Full Name | Douglas Houseman Evans |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 100 Garnet Way, Warm Springs, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821493297 | NPI | - | NPPES |
3429516-01 | Medicaid | TX | |
3429516-02 | Medicaid | TX |
Entity Name | State Of Montana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356351183 PECOS PAC ID: 3870499676 Enrollment ID: O20031211000579 |
Mailing Address | Practice Location Address |
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Douglas Houseman Evans, PMHNP-BC 400 Conley Lake Rd, Deer Lodge, MT 59722-8708 Ph: (406) 415-6514 | Douglas Houseman Evans, PMHNP-BC 100 Garnet Way, Warm Springs, MT 59756 Ph: (406) 693-7300 |
Christine Marie Walsh, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 Fax: 406-693-7267 | |
Melody S Wilkinson, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Amanda Beth Womack, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Nora Ann Schillo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 | |
Stephanie G Dever, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Kammiell Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 Fax: 406-444-3082 | |
Cory Daniels, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 |