Dale Gregory Evans, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Spring Valley, Ohio. His current practice location is
1931 River Ridge Dr, Spring Valley, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 546-7281.
Dale Gregory Evans is licensed to practice in Ohio (license number 35056447) 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 1700947314.
Physician's Profile
| Full Name | Dale Gregory Evans |
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| Gender | Male |
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| Speciality | Pediatrics - Pediatric Emergency Medicine |
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| Location | 1931 River Ridge Dr, Spring Valley, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700947314
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 01/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 9234457516
- Enrollment ID: I20150824000675
Medical Identifiers
Medical identifiers for Dale Gregory Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700947314 | NPI | - | NPPES |
| 0800637 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 35056447 (Ohio) | Primary |
| 208000000X | Pediatrics | 35.056447 (Ohio) | 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. Dale Gregory Evans allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Childrens Specialty Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
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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. Dale Gregory 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 |
Dale Gregory Evans, MD 1931 River Ridge Dr, Spring Valley, OH 45370-9781 Ph: (937) 546-7281 | Dale Gregory Evans, MD 1931 River Ridge Dr, Spring Valley, OH 45370-9781 Ph: (937) 546-7281 |
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