Teresa Claire Evan, in Portales, NM - Medicare Nurse Practitioner

Teresa Claire Evan, is a medicare enrolled "Nurse Practitioner - Family" in Portales, New Mexico. Her current practice location is 1515 W Fir St, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 356-6695.

Teresa Claire Evan is licensed to practice in New Mexico (license number 53252) 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 1124422597.

Contact Information

	Teresa Claire Evan,
	1515 W Fir St, Portales, NM 88130-5703
	(575) 356-6695
	(575) 356-5948

Map and Direction

Provider's Profile

Full Name	Teresa Claire Evan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1515 W Fir St, Portales, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124422597
Provider Enumeration Date: 10/14/2014
Last Update Date: 11/01/2018

Medicare PECOS Information:

PECOS PAC ID: 2860719804
Enrollment ID: I20240411003138

Medical Identifiers

Medical identifiers for Teresa Claire Evan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124422597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126422 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	53252 (New Mexico)	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. Teresa Claire Evan allows following entities to bill medicare on her behalf.

Entity Name	Reeves County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447417209 PECOS PAC ID: 2567353469 Enrollment ID: O20040503001121

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. Teresa Claire Evan 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
Teresa Claire Evan, 1515 W Fir St, Portales, NM 88130-5703 Ph: (575) 359-3820	Teresa Claire Evan, 1515 W Fir St, Portales, NM 88130-5703 Ph: (575) 356-6695

Reviews and Comments

Nurse Practitioner Nurses in Portales, NM

Mrs. Shanna Lee Campbell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652
Lindsay Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Kerri Renee Self, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 W 4th St, Portales, NM 88130 Phone: 575-226-3898 Fax: 575-226-3890
Eva F Toelle, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Sylvia Anne Rife, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099
Mrs. Johanna Christine Pettrey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695

Teresa Claire Evan, - Medicare Nurse Practitioner in Portales, NM