Evan Patrick Bickerstaff, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kokomo, Indiana. He graduated from nursing school in 2025 and has 0 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St. Joseph Primary Care, Llc and his current practice location is
1907 W Sycamore St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 452-5611.
Evan Patrick Bickerstaff is licensed to practice in Indiana (license number 28254369A) 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 1790588150.
Provider's Profile
| Full Name | Evan Patrick Bickerstaff |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 0 Years |
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| Location | 1907 W Sycamore St, Kokomo, Indiana |
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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:
- Evan Patrick Bickerstaff graduated from nursing school in 2025
NPI Data:
- NPI Number: 1790588150
- Provider Enumeration Date: 03/31/2025
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941719181
- Enrollment ID: I20250530001785
Medical Identifiers
Medical identifiers for Evan Patrick Bickerstaff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790588150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 28254369A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St. Joseph Primary Care, Llc | 5294700274 | 11 |
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. Evan Patrick Bickerstaff 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 |
Evan Patrick Bickerstaff, 5816 Beacon Cove Way, Indianapolis, IN 46237-9192 Ph: (270) 933-2552 | Evan Patrick Bickerstaff, 1907 W Sycamore St, Kokomo, IN 46901-5148 Ph: (765) 452-5611 |
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