Charlie Edward Evans, MD in Ukiah, CA - Medicare Emergency Medicine

Charlie Edward Evans, MD is a medicare enrolled "Emergency Medicine" physician in Ukiah, California. His current practice location is 275 Hospital Dr, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (707) 462-7900.

Charlie Edward Evans is licensed to practice in California (license number G51002) 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 1104875475.

Contact Information

	Charlie Edward Evans, MD
	275 Hospital Dr, Ukiah, CA 95482-4531
	(707) 462-7900
	(707) 462-7947

Map and Direction

Physician's Profile

Full Name	Charlie Edward Evans
Gender	Male
Speciality	Emergency Medicine
Location	275 Hospital Dr, Ukiah, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104875475
Provider Enumeration Date: 05/06/2006
Last Update Date: 03/31/2008

Medicare PECOS Information:

PECOS PAC ID: 7113824426
Enrollment ID: I20080408000534

Medical Identifiers

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

Identifier	Type	State	Issuer
1104875475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G51002 (California)	Primary
207Q00000X	Family Medicine	G51002 (California)	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. Charlie Edward Evans allows following entities to bill medicare on his behalf.

Entity Name	Petaluma Emergency Physicians Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649201898 PECOS PAC ID: 2365478914 Enrollment ID: O20050714000510

Entity Name	Sonoma Valley Emergency Physicians Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390

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. Charlie Edward 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
Charlie Edward Evans, MD 275 Hospital Dr, Ukiah, CA 95482-4531 Ph: (707) 462-7900	Charlie Edward Evans, MD 275 Hospital Dr, Ukiah, CA 95482-4531 Ph: (707) 462-7900

Reviews and Comments

Emergency Medicine Doctors in Ukiah, CA

Dr. Ronald Landis Gester, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-462-7947
Dr. Jennifer Zernec, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7330
Dr. Gary Fausone, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-462-7947
Alejandro Saul Casillas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-462-7947
Debbie L Marks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-7900 Fax: 707-462-7947
Dr. Jeffrey Alan Rapp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-467-5230 Fax: 707-467-5240

Charlie Edward Evans, MD - Medicare Emergency Medicine in Ukiah, CA