| Robert Evens, MD | |
|
Hwy 61 South, Crystal City, MO 63019 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Robert Evens |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Hwy 61 South, Crystal City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073556700 | NPI | - | NPPES |
| 426403 | Other | MO | HEALTHLINK |
| 124884 | Other | MO | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 105786 (Missouri) | Primary |
| Entity Name | Mercy Hospital South |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568481984 PECOS PAC ID: 8426962556 Enrollment ID: O20031113000592 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427098169 PECOS PAC ID: 1658276811 Enrollment ID: O20031209000789 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664177 PECOS PAC ID: 3779479019 Enrollment ID: O20040224001164 |
| Entity Name | Mercy Hospital Jefferson |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508859661 PECOS PAC ID: 1254248271 Enrollment ID: O20050518000926 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Evens, MD Po Box 827431, Philadelphia, PA 19182-7431 Ph: (904) 805-1300 | Robert Evens, MD Hwy 61 South, Crystal City, MO 63019 Ph: (904) 805-1300 |
Dr. Rachel Brown Edwards, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61, Crystal City, MO 63019 Phone: 636-933-1014 Fax: 636-933-1010 | |
Earl Scott, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 | |
Peter Mccarthy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 | |
Ms. Sara M Taylor, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 U.s. Hwy 61 S, Crystal City, MO 63019 Phone: 636-933-1111 | |
Brian Lenz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Hwy 61 South, Crystal City, MO 63019 Phone: 636-933-1111 Fax: 636-933-1030 | |
Ravi Kotha, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Hwy 61 South, Crystal City, MO 63019 Phone: 904-805-1300 Fax: 904-805-1302 |