Evan Reed Sobiesk, is a
Student In An Organized Health Care Education/training Program based in Jackson, Mississippi. Evan Reed Sobiesk is licensed to practice in Mississippi (license number ) and his current practice location is
2500 N State St, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 984-6090.
NPI number for Evan Reed Sobiesk is 1801416219 and his current mailing address is 2427 E Northside Dr, Jackson, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801416219.
Healthcare Provider's Profile
Full Name | Evan Reed Sobiesk |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801416219
- Provider Enumeration Date: 04/26/2020
- Last Update Date: 10/25/2020
Medical Identifiers
Medical identifiers for Evan Reed Sobiesk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801416219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4160-20 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Mississippi) | Primary |
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 Reed Sobiesk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan Reed Sobiesk, 2427 E Northside Dr, Jackson, MS 39211-4925 Ph: () - | Evan Reed Sobiesk, 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6090 |
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