Russell L Evans, PA-C is a medicare enrolled "Physician Assistant" physician in Lewiston, Idaho. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Catalyst Medical Group Pllc, Catalyst Medical Group Pllc and his current practice location is
320 Warner Dr, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 743-3523.
Russell L Evans is licensed to practice in Idaho (license number PA-1823) 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 1851871172.
Physician's Profile
| Full Name | Russell L Evans |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 320 Warner Dr, Lewiston, Idaho |
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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. |
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Medical Education and Training:
- Russell L Evans graduated from medical school in 2019
NPI Data:
- NPI Number: 1851871172
- Provider Enumeration Date: 08/16/2018
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345676870
- Enrollment ID: I20200131002566
Medical Identifiers
Medical identifiers for Russell L Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851871172 | NPI | - | NPPES |
| 1851871172 | Medicaid | WA | |
| 1851871172 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 1851871172 (Idaho) | Secondary |
| 2471C3401X | Radiologic Technologist - Computed Tomography | 408447 (Minnesota) | Secondary |
| 2471C3402X | Radiologic Technologist - Radiography | 408447 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | PA61007077 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA-1823 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Catalyst Medical Group Pllc | 2365722105 | 36 |
| Catalyst Medical Group Pllc | 2365722105 | 36 |
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. Russell L 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 |
|---|
Russell L Evans, PA-C
320 Warner Dr,
Lewiston, ID 83501-4441
Ph: (208) 743-3523 | Russell L Evans, PA-C
320 Warner Dr,
Lewiston, ID 83501-4441
Ph: (208) 743-3523 |
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