Mrs Carlissa Marie Evans, NP in Irving, TX - Medicare Nurse Practitioner

Mrs Carlissa Marie Evans, NP is a medicare enrolled "Nurse Practitioner" in Irving, Texas. Her current practice location is 4545 Fuller Dr Ste 325, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 870-5511.

Mrs Carlissa Marie Evans is licensed to practice in Texas (license number 800411) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104114727.

Contact Information

	Mrs Carlissa Marie Evans, NP
	4545 Fuller Dr Ste 325, Irving, TX 75038-6530
	(972) 870-5511
	(972) 870-5512

Map and Direction

Provider's Profile

Full Name	Mrs Carlissa Marie Evans
Gender	Female
Speciality	Nurse Practitioner
Location	4545 Fuller Dr Ste 325, Irving, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104114727
Provider Enumeration Date: 07/17/2011
Last Update Date: 12/16/2016

Medicare PECOS Information:

PECOS PAC ID: 4183899479
Enrollment ID: I20111215000277

Medical Identifiers

Medical identifiers for Mrs Carlissa Marie Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104114727	NPI	-	NPPES
288256502	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	800411 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	800411 (Texas)	Secondary
363L00000X	Nurse Practitioner	800411 (Texas)	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. Mrs Carlissa Marie Evans allows following entities to bill medicare on her behalf.

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Iah Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487051231 PECOS PAC ID: 8921323825 Enrollment ID: O20150218000720

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. Mrs Carlissa Marie 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 Address	Practice Location Address
Mrs Carlissa Marie Evans, NP Po Box 1239, Troy, MI 48099-1239 Ph: () -	Mrs Carlissa Marie Evans, NP 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 Ph: (972) 870-5511

Reviews and Comments

Nurse Practitioner Nurses in Irving, TX

Bilkish Chunara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061 Phone: 972-253-4370 Fax: 972-823-6407
Mrs. Tien Vu, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039 Phone: 214-647-1533
Jilly John, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038 Phone: 469-200-3272
Chelsea Jean Hawkins, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062 Phone: 469-726-4402
Andrea Nicole Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979
Ellen Cathleen Allison, RNCWHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Ste 540, Irving, TX 75061 Phone: 972-253-5000 Fax: 972-253-1109
Esther Boro, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061 Phone: 214-631-9992

Mrs Carlissa Marie Evans, NP - Medicare Nurse Practitioner in Irving, TX