Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC in Canby, OR

Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Canby, Oregon. His current practice location is 409 Nw 2nd Ave, Canby, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 266-1407.

Mr Leasel Wayne Evans is licensed to practice in Oregon (license number 201709151NP-PP) 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 1275939043.

Contact Information

	Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC
	409 Nw 2nd Ave, Canby, OR 97013-3517
	(503) 266-1407
	(503) 266-1849

Map and Direction

Provider's Profile

Full Name	Mr Leasel Wayne Evans
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	409 Nw 2nd Ave, Canby, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275939043
Provider Enumeration Date: 11/06/2014
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3779900337
Enrollment ID: I20200827000547

Medical Identifiers

Medical identifiers for Mr Leasel Wayne Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275939043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	201406240RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	201709151NP-PP (Oregon)	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. Mr Leasel Wayne Evans allows following entities to bill medicare on his behalf.

Entity Name	Tms Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881139913 PECOS PAC ID: 2567720113 Enrollment ID: O20180103001359

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. Mr Leasel Wayne 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
Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC 409 Nw 2nd Ave, Canby, OR 97013-3517 Ph: (503) 266-1407	Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC 409 Nw 2nd Ave, Canby, OR 97013-3517 Ph: (503) 266-1407

Reviews and Comments

Nurse Practitioner Nurses in Canby, OR

Mr. John Michael Richards, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 703 Se 1st Ave, Canby, OR 97013 Phone: 503-266-7686 Fax: 503-266-7382
Mrs. Jennifer Moon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Se 1st Ave, Canby, OR 97013 Phone: 503-266-7686
Loveleen K Brar, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1185 S Elm St, Canby, OR 97013 Phone: 503-797-2252
John Stewart Prickett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Se 1st Ave, Canby, OR 97013 Phone: 503-266-7686 Fax: 503-266-7382
Meghan E. Brennan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-416-4547 Fax: 503-416-4553
Ms. Anne Marie Barry-lever, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 178 Sw 2nd Ave, Canby, OR 97013 Phone: 503-416-4547 Fax: 503-416-4555
Dianne Eileen Blust, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1185 S Elm St, Canby, OR 97013 Phone: 503-723-4670 Fax: 503-266-6649

Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC - Medicare Nurse Practitioner in Canby, OR