Ms Mary L Evenson, PA-C in Madison, WI - Medicare Physician Assistant

Ms Mary L Evenson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Madison, Wisconsin. Her current practice location is 752 N High Point Rd, Dean Medical Center, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 824-4000.

Ms Mary L Evenson is licensed to practice in Wisconsin (license number 1019-023) 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 1659366565.

Contact Information

	Ms Mary L Evenson, PA-C
	752 N High Point Rd, Dean Medical Center, Madison, WI 53717-2236
	(608) 824-4000
	(608) 824-4910

Map and Direction

Provider's Profile

Full Name	Ms Mary L Evenson
Gender	Female
Speciality	Physician Assistant - Medical
Location	752 N High Point Rd, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659366565
Provider Enumeration Date: 09/16/2005
Last Update Date: 12/23/2008

Medicare PECOS Information:

PECOS PAC ID: 2163583303
Enrollment ID: I20081206000174

Medical Identifiers

Medical identifiers for Ms Mary L Evenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659366565	NPI	-	NPPES
60842	Other		DEAN HEALTH INSURANCE
42990900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1019-023 (Wisconsin)	Primary

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 Mary L Evenson 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 Mary L Evenson, PA-C 752 N High Point Rd, Dean Medical Center, Madison, WI 53717-2236 Ph: (608) 824-4000	Ms Mary L Evenson, PA-C 752 N High Point Rd, Dean Medical Center, Madison, WI 53717-2236 Ph: (608) 824-4000

Reviews and Comments

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Ms Mary L Evenson, PA-C - Medicare Physician Assistant in Madison, WI