Evans O Magambo, MD is a medicare enrolled "Emergency Medicine" physician in Thief River Falls, Minnesota. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Professional Emergency Physicians Pc, Southeastern Emergency Physicians Llc and his current practice location is
3001 Sanford Pkwy, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 683-4135.
Evans O Magambo is licensed to practice in Minnesota (license number 54956) 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 1881824407.
Physician's Profile
| Full Name | Evans O Magambo |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 24 Years |
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| Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
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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. |
Medical Education and Training:
- Evans O Magambo graduated from medical school in 2002
NPI Data:
- NPI Number: 1881824407
- Provider Enumeration Date: 07/16/2009
- Last Update Date: 07/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 3476709825
- Enrollment ID: I20250313002180
Medical Identifiers
Medical identifiers for Evans O Magambo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881824407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 54956 (Minnesota) | Primary |
| 207P00000X | Emergency Medicine | 01092884A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 1105182A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 54956 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Professional Emergency Physicians Pc | 2769384213 | 79 |
| Southeastern Emergency Physicians Llc | 2466364997 | 776 |
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. Evans O Magambo allows following entities to bill medicare on his behalf.
| Entity Name | Professional Emergency Physicians PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
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| Entity Name | Daviess County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124231493 PECOS PAC ID: 1557271665 Enrollment ID: O20100420000663 |
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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. Evans O Magambo 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 |
Evans O Magambo, MD 3699 Cavallo Pass, Chaska, MN 55318-3602 Ph: (612) 816-8815 | Evans O Magambo, MD 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 Ph: (218) 683-4135 |
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