Lori M Evans, | |
200 S 18th Ave, Wausau, WI 54401-4252 | |
(715) 842-3084 | |
Not Available |
Full Name | Lori M Evans |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 200 S 18th Ave, Wausau, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881931988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5201-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aspirus Medical Group Inc | 1052223625 | 204 |
Aspirus Wausau Hospital Inc | 6406757442 | 161 |
Entity Name | Aspirus Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Entity Name | Aspirus Wausau Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
Mailing Address | Practice Location Address |
---|---|
Lori M Evans, 200 S 18th Ave, Wausau, WI 54401-4252 Ph: (715) 842-3084 | Lori M Evans, 200 S 18th Ave, Wausau, WI 54401-4252 Ph: (715) 842-3084 |
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