Evan Conquest, OTR/L is a medicare enrolled "Occupational Therapist" provider in Vernon, New Jersey. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Summit Medical Group Pa and his current practice location is
212 State Rt 94 Ste 2g&2h, Vernon, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 209-0086.
Evan Conquest is licensed to practice in New Jersey (license number 46TR00802100) 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 1265946057.
Healthcare Provider's Profile
| Full Name | Evan Conquest |
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| Gender | Male |
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| Speciality | Occupational Therapy |
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| Experience | 7 Years |
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| Location | 212 State Rt 94 Ste 2g&2h, Vernon, New Jersey |
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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:
- Evan Conquest graduated from medical school in 2017
NPI Data:
- NPI Number: 1265946057
- Provider Enumeration Date: 12/01/2017
- Last Update Date: 07/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486058195
- Enrollment ID: I20210803001454
Medical Identifiers
Medical identifiers for Evan Conquest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265946057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 46TR00802100 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Medical Group Pa | 5395642276 | 1247 |
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. Evan Conquest allows following entities to bill medicare on his behalf.
| Provider Name | Summit Medical Group Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011 |
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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. Evan Conquest 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 |
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Evan Conquest, OTR/L
135 Butler Pkwy,
Summit, NJ 07901-1439
Ph: (484) 574-4957 | Evan Conquest, OTR/L
212 State Rt 94 Ste 2g&2h,
Vernon, NJ 07462-3328
Ph: (973) 209-0086 |
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