Mary K Evangelista, FNP in East Chicago, IN - Medicare Nurse Practitioner

Mary K Evangelista, FNP is a medicare enrolled "Nurse Practitioner - Family" in East Chicago, Indiana. Her current practice location is 4321 Fir St, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 765-0597.

Mary K Evangelista is licensed to practice in Indiana (license number 71007197A) 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 1881114767.

Contact Information

	Mary K Evangelista, FNP
	4321 Fir St, East Chicago, IN 46312-3049
	(219) 765-0597
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary K Evangelista
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4321 Fir St, East Chicago, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881114767
Provider Enumeration Date: 06/22/2017
Last Update Date: 09/10/2018

Medicare PECOS Information:

PECOS PAC ID: 4981975877
Enrollment ID: I20170811000325

Medical Identifiers

Medical identifiers for Mary K Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881114767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71007197A (Indiana)	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. Mary K Evangelista allows following entities to bill medicare on her behalf.

Entity Name	The Methodist Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526

Entity Name	Premise Health Of Indiana Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942363841 PECOS PAC ID: 0446220610 Enrollment ID: O20040727000935

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. Mary K Evangelista 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
Mary K Evangelista, FNP 4321 Fir St, East Chicago, IN 46312-3049 Ph: (219) 392-7224	Mary K Evangelista, FNP 4321 Fir St, East Chicago, IN 46312-3049 Ph: (219) 765-0597

Reviews and Comments

Nurse Practitioner Nurses in East Chicago, IN

Zalak Patel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4320 Fir St Unit 320, East Chicago, IN 46312 Phone: 219-392-7992 Fax: 219-392-7987
Lilia Ivette Bonilla, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 219-398-9685 Fax: 219-398-9695
Ivan Aryee, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4320 Fir St Ste 4141, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470
Marquita Henson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466
Adebowale Osisanya, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470
Selena Samardzich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4320 Fir St Unit 220, East Chicago, IN 46312 Phone: 219-836-2995 Fax: 219-836-4075
Alexandra Halkias, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7200

Mary K Evangelista, FNP - Medicare Nurse Practitioner in East Chicago, IN