Gerri A Evans, RN,MSN,CNM is a medicare enrolled "Advanced Practice Midwife" in Scranton, Pennsylvania. Her current practice location is
748 Quincy Ave, Ste 2a, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 961-0851.
Gerri A Evans is licensed to practice in Pennsylvania (license number MW008591L) 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 1104925999.
Provider's Profile
| Full Name | Gerri A Evans |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 748 Quincy Ave, Scranton, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104925999
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 08/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375567183
- Enrollment ID: I20071029000648
Medical Identifiers
Medical identifiers for Gerri A Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104925999 | NPI | - | NPPES |
| 001815763 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | MW008591L (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN323049L (Pennsylvania) | Secondary |
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. Gerri A Evans allows following entities to bill medicare on her behalf.
| Entity Name | Scranton Quincy Clinic Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508143074
PECOS PAC ID: 0143487389
Enrollment ID: O20120131000544 |
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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. Gerri A 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 |
|---|
Gerri A Evans, RN,MSN,CNM
748 Quincy Ave, Suite 2a,
Scranton, PA 18510-1739
Ph: (570) 961-0851 | Gerri A Evans, RN,MSN,CNM
748 Quincy Ave, Ste 2a,
Scranton, PA 18510-1739
Ph: (570) 961-0851 |
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