Mrs Takia Chantell Evans, RN, CRNP in Jenkintown, PA

Mrs Takia Chantell Evans, RN, CRNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Jenkintown, Pennsylvania. Her current practice location is 1417 Old Mill Ln, Jenkintown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 279-2383.

Mrs Takia Chantell Evans is licensed to practice in Pennsylvania (license number SP028347) 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 1386425437.

Contact Information

	Mrs Takia Chantell Evans, RN, CRNP
	1417 Old Mill Ln, Jenkintown, PA 19046-1014
	(215) 279-2383
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Takia Chantell Evans
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1417 Old Mill Ln, Jenkintown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386425437
Provider Enumeration Date: 10/12/2023
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2961846415
Enrollment ID: I20240223000168

Medical Identifiers

Medical identifiers for Mrs Takia Chantell Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386425437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	SP028347 (Pennsylvania)	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 Takia Chantell Evans allows following entities to bill medicare on her behalf.

Entity Name	Fornance Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053363523 PECOS PAC ID: 8527962661 Enrollment ID: O20040216000037

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 Takia Chantell 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 Takia Chantell Evans, RN, CRNP 1417 Old Mill Ln, Jenkintown, PA 19046-1014 Ph: (215) 279-2383	Mrs Takia Chantell Evans, RN, CRNP 1417 Old Mill Ln, Jenkintown, PA 19046-1014 Ph: (215) 279-2383

Reviews and Comments

Nurse Practitioner Nurses in Jenkintown, PA

Yatta Katherine Crosby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 835 Old York Rd, Jenkintown, PA 19046 Phone: 215-886-2923
Teresa Stewart Marable, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 York Rd Ste 203, Jenkintown, PA 19046 Phone: 215-886-0174
Alexandra Gillespie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Old York Rd Ste 620, Jenkintown, PA 19046 Phone: 215-885-8700
Mrs. Susana Mary Ward, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Old York Rd Ste 620, Jenkintown, PA 19046 Phone: 215-885-8700 Fax: 215-885-8795
Julianne Rutz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Huntingdon Pike, Suite 156, Jenkintown, PA 19046 Phone: 215-947-7924
Sandra J Roadarmel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 York Rd, Jenkintown, PA 19046 Phone: 215-884-7620 Fax: 215-884-7896
Jaime Nicole Owens, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 835 Old York Rd, Jenkintown, PA 19046 Phone: 215-886-2923

Mrs Takia Chantell Evans, RN, CRNP - Medicare Nurse Practitioner in Jenkintown, PA