Jerry Wayne Eversole, LPN is a
Licensed Practical Nurse based in Hanover, Indiana. Jerry Wayne Eversole is licensed to practice in Indiana (license number 27065312A) and his current practice location is
338 E Lagrange Rd, Hanover, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 273-4640.
NPI number for Jerry Wayne Eversole is 1578273488 and his current mailing address is 950 Cross Ave, Madison, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578273488.
Provider's Profile
| Full Name | Jerry Wayne Eversole |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 338 E Lagrange Rd, Hanover, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578273488
- Provider Enumeration Date: 12/01/2022
- Last Update Date: 12/01/2022
Medical Identifiers
Medical identifiers for Jerry Wayne Eversole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578273488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 27065312A (Indiana) | Primary |
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. Jerry Wayne Eversole is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerry Wayne Eversole, LPN
950 Cross Ave,
Madison, IN 47250-2002
Ph: () - | Jerry Wayne Eversole, LPN
338 E Lagrange Rd,
Hanover, IN 47243-9618
Ph: (812) 273-4640 |
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