Trevor James Evans, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in La Grange, Kentucky. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Norton - Kings Daughters Health Inc and his current practice location is
1025 New Moody Ln, La Grange, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 222-5388.
Trevor James Evans is licensed to practice in Montana (license number 132048) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245763085.
Provider's Profile
| Full Name | Trevor James Evans |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 7 Years |
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| Location | 1025 New Moody Ln, La Grange, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Trevor James Evans graduated from nursing school in 2017
NPI Data:
- NPI Number: 1245763085
- Provider Enumeration Date: 04/08/2017
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769752906
- Enrollment ID: I20170721000533
Medical Identifiers
Medical identifiers for Trevor James Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245763085 | NPI | - | NPPES |
| 300019021 | Medicaid | IN | |
| 7100666370 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1166968 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 28237068A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 132048 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Norton - Kings Daughters Health Inc | 9739089319 | 80 |
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. Trevor James Evans allows following entities to bill medicare on his behalf.
| Entity Name | Norton - Kings Daughters Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955093
PECOS PAC ID: 9739089319
Enrollment ID: O20040520001611 |
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| Entity Name | Ema Anesthesia, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104102268
PECOS PAC ID: 7911174552
Enrollment ID: O20120123000087 |
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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. Trevor James 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 |
|---|
Trevor James Evans,
10007 Shining Willow Dr Apt 102,
Louisville, KY 40241-3147
Ph: (801) 979-2451 | Trevor James Evans,
1025 New Moody Ln,
La Grange, KY 40031-9154
Ph: (502) 222-5388 |
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