Evan Los, EVAN LOS, MD - Medicare Pediatrics in Johnson City, TN

Evan Los, EVAN LOS, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Johnson City, Tennessee. His current practice location is 408 N State Of Franklin Rd, Suite 31b, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-4946.

Evan Los is licensed to practice in Tennessee (license number 54336) 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 1174842348.

Contact Information

Evan Los, EVAN LOS, MD
408 N State Of Franklin Rd, Suite 31b,
Johnson City, TN 37604-6089
(423) 431-4946
(423) 431-4947

Map and Direction




Physician's Profile

Full NameEvan Los
GenderMale
SpecialityPediatrics - Pediatric Endocrinology
Location408 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174842348
  • Provider Enumeration Date: 05/26/2010
  • Last Update Date: 02/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1052566866
  • Enrollment ID: I20160801001045

Medical Identifiers

Medical identifiers for Evan Los such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174842348NPI-NPPES
1174842348MedicaidVA
Q022585MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 54336 (Tennessee)Secondary
2080P0205XPediatrics - Pediatric Endocrinology 54336 (Tennessee)Primary
208000000XPediatrics MD163055 (Oregon)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. Evan Los allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996

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 Los 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
Evan Los, EVAN LOS, MD
408 N State Of Franklin Rd, Suite 31b,
Johnson City, TN 37604-6089

Ph: (423) 431-4946
Evan Los, EVAN LOS, MD
408 N State Of Franklin Rd, Suite 31b,
Johnson City, TN 37604-6089

Ph: (423) 431-4946

Reviews and Comments


Pediatrics Doctors in Johnson City, TN

John William Schweitzer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    
Mrs. Priya Narayanan Jain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Jodi B Gage, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Dr. Demetrio Rebano Macariola Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Karen E Schetzina, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
William Scott Dodd, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Ahmad A Wattad, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343

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.