Jacob Evansun, FNP-C - Medicare Nurse Practitioner in Lexington, GA

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Jacob Evansun, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Georgia. His current practice location is 774 Athens Rd, Lexington, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 743-8183.

Jacob Evansun is licensed to practice in Georgia (license number RN278189) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770281784.

Contact Information

Jacob Evansun, FNP-C
774 Athens Rd,
Lexington, GA 30648-1908
(706) 743-8183
Not Available

Map and Direction




Provider's Profile

Full NameJacob Evansun
GenderMale
SpecialityNurse Practitioner - Family
Location774 Athens Rd, Lexington, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770281784
  • Provider Enumeration Date: 02/20/2023
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133577950
  • Enrollment ID: I20231204002960

Medical Identifiers

Medical identifiers for Jacob Evansun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770281784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN278189 (Georgia)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. Jacob Evansun allows following entities to bill medicare on his behalf.
Entity NameGreater Athens Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639128143
PECOS PAC ID: 4587652474
Enrollment ID: O20040430001028
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001

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. Jacob Evansun 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 AddressPractice Location Address
Jacob Evansun, FNP-C
350 Woodgrove Dr,
Athens, GA 30605-7509

Ph: (253) 314-2374		Jacob Evansun, FNP-C
774 Athens Rd,
Lexington, GA 30648-1908

Ph: (706) 743-8183

Reviews and Comments


Nurse Practitioner Nurses in Lexington, GA

Mr. Philip Young Kong, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 247 Union Point St, Lexington, GA 30648
Phone: 706-743-8171    Fax: 706-743-3000
Jettie Anne Cummings, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 774 Athens Rd, Lexington, GA 30648
Phone: 706-743-8183    Fax: 706-743-3233
Ms. Robin Aaron Bassett, NP-C, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 774 Athens Rd, Lexington, GA 30648
Phone: 706-743-8183    
Tina Lynn Shehee,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 247 Union Point St, Lexington, GA 30648
Phone: 706-743-8171    
Colette Thompson, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 247 Union Point St, Lexington, GA 30648
Phone: 706-743-8171    Fax: 706-743-3000
Miss Jessica Keith Rainey, C.R.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 774 Athens Rd, Lexington, GA 30648
Phone: 706-743-8183    Fax: 706-769-4402

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.