Leslie Brooke Evans, FNP-C in Douglas, GA - Medicare Nurse Practitioner

Leslie Brooke Evans, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Georgia. Her current practice location is 906 Bryan St W, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 383-9300.

Leslie Brooke Evans is licensed to practice in Georgia (license number RN224154) 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 1881231538.

Contact Information

	Leslie Brooke Evans, FNP-C
	906 Bryan St W, Douglas, GA 31533-2330
	(912) 383-9300
	(912) 383-9292

Map and Direction

Provider's Profile

Full Name	Leslie Brooke Evans
Gender	Female
Speciality	Nurse Practitioner - Family
Location	906 Bryan St W, Douglas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881231538
Provider Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019

Medicare PECOS Information:

PECOS PAC ID: 9739517046
Enrollment ID: I20200320000881

Medical Identifiers

Medical identifiers for Leslie Brooke Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881231538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN224154 (Georgia)	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. Leslie Brooke Evans allows following entities to bill medicare on her behalf.

Entity Name	Hazlehurst Family Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578743985 PECOS PAC ID: 2769453059 Enrollment ID: O20040802000783

Entity Name	Transitional Care Physicians Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619317542 PECOS PAC ID: 4486895083 Enrollment ID: O20130724000471

Entity Name	Chronic Disease Management Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695

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. Leslie Brooke 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
Leslie Brooke Evans, FNP-C 667 Griffin Cemetery Rd, Ambrose, GA 31512-3832 Ph: (912) 389-6279	Leslie Brooke Evans, FNP-C 906 Bryan St W, Douglas, GA 31533-2330 Ph: (912) 383-9300

Reviews and Comments

Nurse Practitioner Nurses in Douglas, GA

Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015
Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117
Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966
Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117
Kera Ashlyn Malphus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210
Patricia Arasely Jaimes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900
Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214

Leslie Brooke Evans, FNP-C - Medicare Nurse Practitioner in Douglas, GA