Timothy J Evans, - Medicare Nurse Practitioner in Fulton, MS

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Timothy J Evans, is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Mississippi. His current practice location is 1301 S Adams St, Fulton, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 862-4422.

Timothy J Evans is licensed to practice in Mississippi (license number R819687) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720095896.

Contact Information

Timothy J Evans,
1301 S Adams St,
Fulton, MS 38843
(662) 862-4422
(662) 862-4244

Map and Direction




Provider's Profile

Full NameTimothy J Evans
GenderMale
SpecialityNurse Practitioner - Family
Location1301 S Adams St, Fulton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720095896
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 06/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143280214
  • Enrollment ID: I20041013000545

Medical Identifiers

Medical identifiers for Timothy J Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720095896NPI-NPPES
AP09666OtherLABOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R819687 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family AP09666 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family R819687 (Mississippi)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. Timothy J Evans allows following entities to bill medicare on his behalf.
Entity NameUnited Emergency Services Of Mississippi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801983309
PECOS PAC ID: 9739188046
Enrollment ID: O20061214000504
Entity NameConvenient Care Of Fulton Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932453610
PECOS PAC ID: 1355589193
Enrollment ID: O20130606000055
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameComprehensive Hospitalists Of Ms, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467856385
PECOS PAC ID: 6709101322
Enrollment ID: O20150202001604

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. Timothy J 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 AddressPractice Location Address
Timothy J Evans,
3377 Joe Wheeler Brown Rd,
Fulton, MS 38843-7245

Ph: (662) 790-4902		Timothy J Evans,
1301 S Adams St,
Fulton, MS 38843

Ph: (662) 862-4422

Reviews and Comments


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Mrs. Sheila Ann Frederick, AGNP-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.