Dr Jacob Evans, DO is a medicare enrolled "Family Medicine" physician in Keaau, Hawaii. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
16-192 Pili Mua St, Keaau, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 930-0400.
Dr Jacob Evans is licensed to practice in Hawaii (license number DOS-1229) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679772693.
Physician's Profile
| Full Name | Dr Jacob Evans |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 20 Years |
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| Location | 16-192 Pili Mua St, Keaau, Hawaii |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacob Evans graduated from medical school in 2005
NPI Data:
- NPI Number: 1679772693
- Provider Enumeration Date: 07/11/2007
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678649217
- Enrollment ID: I20110914000358
Medical Identifiers
Medical identifiers for Dr Jacob Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679772693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20A9697 (California) | Secondary |
| 207Q00000X | Family Medicine | DOS-1229 (Hawaii) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Dr Jacob Evans allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Jacob 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 |
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Dr Jacob Evans, DO
224 Haili St, Suite B,
Hilo, HI 96720-2975
Ph: (415) 215-2970 | Dr Jacob Evans, DO
16-192 Pili Mua St,
Keaau, HI 96749-8134
Ph: (808) 930-0400 |
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