| Jack L Evans, MD | |
|
629 N Sandusky Ave, Bucyrus, OH 44820-1821 | |
| (419) 562-4677 | |
| (419) 562-0987 |
| Full Name | Jack L Evans |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 629 N Sandusky Ave, Bucyrus, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033175781 | NPI | - | NPPES |
| 000000382640 | Other | OH | BCBS |
| POO328458 | Other | RAILROAD MEDICARE | |
| 0464180 | Medicaid | OH | |
| 000000316691 | Other | OH | BCBS # FOR BUCYRUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35044381 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack L Evans, MD 32 Walker St, Tiffin, OH 44883-3030 Ph: (419) 842-4336 | Jack L Evans, MD 629 N Sandusky Ave, Bucyrus, OH 44820-1821 Ph: (419) 562-4677 |
Andrew S Gerken, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-562-0987 | |
John Andrew Stein, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-562-0987 | |
Lawrence A Lewis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-862-0987 | |
David Paul Androw, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-562-0987 | |
Larry M Tincher, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 629 Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-562-0987 | |
David D. Jung, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-562-0987 |