Kathleen Evanina, NP is a medicare enrolled "Nurse Practitioner" in Eynon, Pennsylvania. Her current practice location is
829 Scranton Carbondale Hwy, Eynon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 383-0825.
Kathleen Evanina is licensed to practice in Pennsylvania (license number SP008273) 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 1427024710.
Provider's Profile
| Full Name | Kathleen Evanina |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 829 Scranton Carbondale Hwy, Eynon, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427024710
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 12/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729045224
- Enrollment ID: I20041216000369
Medical Identifiers
Medical identifiers for Kathleen Evanina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427024710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | SP008273 (Pennsylvania) | 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. Kathleen Evanina allows following entities to bill medicare on her behalf.
| Entity Name | Atlantic Physician Services Of Maryland, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730129594 PECOS PAC ID: 5193619765 Enrollment ID: O20040504000401 |
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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. Kathleen Evanina 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 |
Kathleen Evanina, NP 907 E Scott St, Olyphant, PA 18447-2127 Ph: () - | Kathleen Evanina, NP 829 Scranton Carbondale Hwy, Eynon, PA 18403-1020 Ph: (570) 383-0825 |
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