Mr Keith B Evans, ACNS-BC - Medicare Clinical Nurse Specialist in Shelby, OH

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Mr Keith B Evans, ACNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Shelby, Ohio. His current practice location is 12 Lincoln Dr, Shelby, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 961-2873.

Mr Keith B Evans is licensed to practice in Ohio (license number APRN.CNS.19050) 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 1750828406.

Contact Information

Mr Keith B Evans, ACNS-BC
12 Lincoln Dr,
Shelby, OH 44875-1482
(419) 961-2873
Not Available

Map and Direction




Provider's Profile

Full NameMr Keith B Evans
GenderMale
SpecialityClinical Nurse Specialist - Adult Health
Location12 Lincoln Dr, Shelby, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750828406
  • Provider Enumeration Date: 01/19/2017
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072820976
  • Enrollment ID: I20171117002758

Medical Identifiers

Medical identifiers for Mr Keith B Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750828406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health APRN.CNS.19050 (Ohio)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. Mr Keith B Evans allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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. Mr Keith B 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 AddressPractice Location Address
Mr Keith B Evans, ACNS-BC
12 Lincoln Dr,
Shelby, OH 44875-1482

Ph: (419) 961-2873		Mr Keith B Evans, ACNS-BC
12 Lincoln Dr,
Shelby, OH 44875-1482

Ph: (419) 961-2873

Reviews and Comments


Clinical Nurse Specialist Nurses in Shelby, OH


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.