Ms Brooke Michelle Evans, in Kingston, PA - Medicare Dietitian, Registered Provider

Ms Brooke Michelle Evans, is a medicare enrolled "Dietitian, Registered" provider in Kingston, Pennsylvania. Her current practice location is 480 Pierce St Ste 201, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (888) 862-0803.

Ms Brooke Michelle Evans is licensed to practice in Pennsylvania (license number DN007107) 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 1043852247.

Contact Information

	Ms Brooke Michelle Evans,
	480 Pierce St Ste 201, Kingston, PA 18704-5512
	(888) 862-0803
	(888) 862-0803

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Brooke Michelle Evans
Gender	Female
Speciality	Dietitian, Registered
Location	480 Pierce St Ste 201, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043852247
Provider Enumeration Date: 10/09/2019
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8628442498
Enrollment ID: I20230316002929

Medical Identifiers

Medical identifiers for Ms Brooke Michelle Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043852247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86115396 (Pennsylvania)	Secondary
133V00000X	Dietitian, Registered	DN007107 (Pennsylvania)	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. Ms Brooke Michelle Evans allows following entities to bill medicare on her behalf.

Provider Name	Catalyst Nutrition And Training
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114643046 PECOS PAC ID: 6901270768 Enrollment ID: O20230316002845

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. Ms Brooke Michelle 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
Ms Brooke Michelle Evans, 480 Pierce St Ste 201, Kingston, PA 18704-5512 Ph: (888) 862-0803	Ms Brooke Michelle Evans, 480 Pierce St Ste 201, Kingston, PA 18704-5512 Ph: (888) 862-0803

Reviews and Comments

Dietitian, Registered in Kingston, PA

Dr. Pamela Charney, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 499 Wyoming Ave, Kingston, PA 18704 Phone: 570-714-3050 Fax: 570-714-3055
Mrs. Jill Marie Stevens, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 560 Pierce St, Kingston, PA 18704 Phone: 570-283-2161
Mr. Samuel R Walker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 675 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-4205
Kelsey Marie Banfield, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 480 Pierce St, Kingston, PA 18704 Phone: 570-815-0462
Intermountain Medical Group, Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-5842
Mrs. Jenifer Marie Habeeb, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 534 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-7150 Fax: 570-552-7152

Ms Brooke Michelle Evans, - Medicare Dietitian in Kingston, PA