Glenn Michael Evans, RN/SRNA in Kingsport, TN - Medicare Nurse Anesthetist, Certified Registered

Glenn Michael Evans, RN/SRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. His current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Glenn Michael Evans is licensed to practice in Tennessee (license number 30283) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982294237.

Contact Information

	Glenn Michael Evans, RN/SRNA
	130 W Ravine Rd, Kingsport, TN 37660-3837
	(423) 224-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Glenn Michael Evans
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982294237
Provider Enumeration Date: 01/21/2021
Last Update Date: 10/04/2021

Medicare PECOS Information:

PECOS PAC ID: 5698173953
Enrollment ID: I20211018002036

Medical Identifiers

Medical identifiers for Glenn Michael Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982294237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	220234 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	30283 (Tennessee)	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. Glenn Michael Evans allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364

Entity Name	Advanced Anesthesia Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164772109 PECOS PAC ID: 7315200664 Enrollment ID: O20180419000153

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. Glenn Michael 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
Glenn Michael Evans, RN/SRNA 902 Broad St Apt 6, Kingsport, TN 37660-3815 Ph: (423) 863-1872	Glenn Michael Evans, RN/SRNA 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121
Geena Sollecito, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000

Glenn Michael Evans, RN/SRNA - Medicare Nurse Anesthetist, Certified Registered in Kingsport, TN