| Dr Roy D Evans, MD | |
|
1320 Winfield Ave, Prentiss, MS 39474-3219 | |
| (601) 792-1172 | |
| (601) 792-1267 |
| Full Name | Dr Roy D Evans |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1320 Winfield Ave, Prentiss, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952465619 | NPI | - | NPPES |
| 01456013 | Medicaid | MS | |
| 0111136 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13317 (Mississippi) | Primary |
| Entity Name | Pioneer Health Care , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336384742 PECOS PAC ID: 4789740044 Enrollment ID: O20090311000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy D Evans, MD 1320 Winfield Ave, Prentiss, MS 39474-3219 Ph: (601) 792-1172 | Dr Roy D Evans, MD 1320 Winfield Ave, Prentiss, MS 39474-3219 Ph: (601) 792-1172 |
Laura Jackson Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Olivia D Moran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 84 Laird Brinson Rd, Prentiss, MS 39474 Phone: 601-792-4079 | |
Dr. Earl L Mahaffey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Jefferson Davis General Hospital, Prentiss, MS 39474 Phone: 601-792-2200 Fax: 601-792-2345 |