Ms Stephanie Lynn Evans, is a medicare enrolled "Physical Therapist" physician in Virginia, Minnesota. Her current practice location is
901 9th St N Ste 100, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 749-9405.
Ms Stephanie Lynn Evans is licensed to practice in Michigan (license number 5501303816) 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 1326610734.
Physician's Profile
| Full Name | Ms Stephanie Lynn Evans |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 901 9th St N Ste 100, Virginia, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326610734
- Provider Enumeration Date: 07/14/2021
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204358476
- Enrollment ID: I20250317003175
Medical Identifiers
Medical identifiers for Ms Stephanie Lynn Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326610734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 12220 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 5501303816 (Michigan) | 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. Ms Stephanie Lynn Evans allows following entities to bill medicare on her behalf.
| Entity Name | Ivyrehab Michigan Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1104337120
PECOS PAC ID: 6901165893
Enrollment ID: O20180123001245 |
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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. Ms Stephanie Lynn Evans 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 |
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Ms Stephanie Lynn Evans,
Po Box 419885,
Boston, MA 02241-9885
Ph: (914) 294-4050 | Ms Stephanie Lynn Evans,
901 9th St N Ste 100,
Virginia, MN 55792-2374
Ph: (218) 749-9405 |
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