Leann Nicole Evans, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Augusta, Mississippi. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Ridge Family Clinic Llc and her current practice location is
404 Main St, New Augusta, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 964-8391.
Leann Nicole Evans is licensed to practice in Mississippi (license number R880882) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033514591.
Provider's Profile
| Full Name | Leann Nicole Evans |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 404 Main St, New Augusta, Mississippi |
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| Accepts Medicare Assignments | Yes. She 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:
- Leann Nicole Evans graduated from nursing school in 2014
NPI Data:
- NPI Number: 1033514591
- Provider Enumeration Date: 10/27/2014
- Last Update Date: 05/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062735038
- Enrollment ID: I20141223001540
Medical Identifiers
Medical identifiers for Leann Nicole Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033514591 | NPI | - | NPPES |
| 07759844 | Medicaid | MS | |
| 12771131 | Other | MS | CAQH NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R880882 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Ridge Family Clinic Llc | 7416194790 | 3 |
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. Leann Nicole Evans allows following entities to bill medicare on her behalf.
| Entity Name | South Ridge Family Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881930469
PECOS PAC ID: 7416194790
Enrollment ID: O20130503000339 |
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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. Leann Nicole 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 |
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Leann Nicole Evans, FNP-C
Po Box 1729,
Hattiesburg, MS 39403-1729
Ph: (601) 545-8700 | Leann Nicole Evans, FNP-C
404 Main St,
New Augusta, MS 39462-0000
Ph: (601) 964-8391 |
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