Evan Gleaves, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bowling Green, Kentucky. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
250 Park St, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 780-2693.
Evan Gleaves is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477181246.
Physician's Profile
| Full Name | Evan Gleaves |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 6 Years |
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| Location | 250 Park St, Bowling Green, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Evan Gleaves graduated from medical school in 2020
NPI Data:
- NPI Number: 1477181246
- Provider Enumeration Date: 03/29/2020
- Last Update Date: 12/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153790761
- Enrollment ID: I20251112002138
Medical Identifiers
Medical identifiers for Evan Gleaves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477181246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 05558 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
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. Evan Gleaves 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 |
|---|
Evan Gleaves,
250 Park St,
Bowling Green, KY 42101-1760
Ph: (270) 780-2693 | Evan Gleaves,
250 Park St,
Bowling Green, KY 42101-1760
Ph: (270) 780-2693 |
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