Jonathan Evans, DPT in Fort Wayne, IN - Medicare Physical Therapist Provider

Jonathan Evans, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fort Wayne, Indiana. His current practice location is 12722 Tonkel Rd Ste 102, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 739-0300.

Jonathan Evans is licensed to practice in Indiana (license number 05011654A) 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 1033493622.

Contact Information

	Jonathan Evans, DPT
	12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201
	(260) 739-0300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Evans
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	12722 Tonkel Rd Ste 102, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033493622
Provider Enumeration Date: 10/01/2011
Last Update Date: 06/25/2020

Medicare PECOS Information:

PECOS PAC ID: 4284952391
Enrollment ID: I20150421000673

Medical Identifiers

Medical identifiers for Jonathan Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033493622	NPI	-	NPPES
201289270	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT010453 (Georgia)	Secondary
2251X0800X	Physical Therapist - Orthopedic	05011654A (Indiana)	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. Jonathan Evans allows following entities to bill medicare on his behalf.

Provider Name	Protailored Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063805042 PECOS PAC ID: 4385962497 Enrollment ID: O20150421000554

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. Jonathan 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
Jonathan Evans, DPT 11170 Rillito Ln, 301, Fort Wayne, IN 46845-2079 Ph: (260) 570-8239	Jonathan Evans, DPT 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 Ph: (260) 739-0300

Reviews and Comments

Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328

Jonathan Evans, DPT - Medicare Physical Therapist in Fort Wayne, IN