Elizabeth Breanna Evangelista, MD - Medicare Family Medicine in Colfax, WA

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Elizabeth Breanna Evangelista, MD is a medicare enrolled "Family Medicine" physician in Colfax, Washington. Her current practice location is 1200 W Fairview St, Colfax, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 397-3435.

Elizabeth Breanna Evangelista is licensed to practice in Washington (license number MD.MD.70004556) 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 1255071882.

Contact Information

Elizabeth Breanna Evangelista, MD
1200 W Fairview St,
Colfax, WA 99111-9552
(509) 397-3435
Not Available

Map and Direction




Physician's Profile

Full NameElizabeth Breanna Evangelista
GenderFemale
SpecialityFamily Medicine
Location1200 W Fairview St, Colfax, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255071882
  • Provider Enumeration Date: 03/31/2022
  • Last Update Date: 08/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608314695
  • Enrollment ID: I20240821004227

Medical Identifiers

Medical identifiers for Elizabeth Breanna Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255071882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A198005 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine MD.MD.70004556 (Washington)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. Elizabeth Breanna Evangelista allows following entities to bill medicare on her behalf.
Entity NameShasta Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114533171
PECOS PAC ID: 3870579816
Enrollment ID: O20040629000721

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. Elizabeth Breanna Evangelista 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 AddressPractice Location Address
Elizabeth Breanna Evangelista, MD
1200 W Fairview St,
Colfax, WA 99111-9552

Ph: (509) 397-3435		Elizabeth Breanna Evangelista, MD
1200 W Fairview St,
Colfax, WA 99111-9552

Ph: (509) 397-3435

Reviews and Comments


Family Medicine Doctors in Colfax, WA

Keith Allen Haugen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W Fairview St, Colfax, WA 99111
Phone: 509-397-4717    
Dr. William Kimball Mellor, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W Fairview St, Colfax, WA 99111
Phone: 509-397-4717    
Zachary Milcawich, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 W Fairview St, Colfax, WA 99111
Phone: 509-397-4717    Fax: 509-397-3501
Sarah L Fielding, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 W Fairview St, Colfax, WA 99111
Phone: 509-397-3435    
Anthony W.. Lundberg, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1210 W Fairview St, Colfax, WA 99111
Phone: 509-397-4717    
Dr. Brent Logan Conrad, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 W Fairview St, Colfax, WA 99111
Phone: 509-397-4717    Fax: 509-397-3501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.