Ms Evelina Avetisova, AGPC-NP in Longview, WA

Ms Evelina Avetisova, AGPC-NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Longview, Washington. Her current practice location is 1230 7th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (503) 813-2000.

Ms Evelina Avetisova is licensed to practice in Washington (license number AP61494666) 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 1609657816.

Contact Information

	Ms Evelina Avetisova, AGPC-NP
	1230 7th Ave, Longview, WA 98632-3166
	(503) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Evelina Avetisova
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1230 7th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609657816
Provider Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4688022783
Enrollment ID: I20231130000786

Medical Identifiers

Medical identifiers for Ms Evelina Avetisova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609657816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	10017243 (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61494666 (Washington)	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. Ms Evelina Avetisova allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Ms Evelina Avetisova 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
Ms Evelina Avetisova, AGPC-NP 104 Solomon Rd Apt G302, Kelso, WA 98626-1772 Ph: (323) 372-4190	Ms Evelina Avetisova, AGPC-NP 1230 7th Ave, Longview, WA 98632-3166 Ph: (503) 813-2000

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Ms Evelina Avetisova, AGPC-NP - Medicare Nurse Practitioner in Longview, WA