Mr Keith B Evans, ACNS-BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Shelby, Ohio. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). He is a member of the group practice Cleveland Clinic and his current practice location is
12 Lincoln Dr, Shelby, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 961-2873.
Mr Keith B Evans is licensed to practice in Ohio (license number APRN.CNS.19050) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750828406.
Provider's Profile
| Full Name | Mr Keith B Evans |
|---|
| Gender | Male |
|---|
| Speciality | Certified Clinical Nurse Specialist (cns) |
|---|
| Experience | 14 Years |
|---|
| Location | 12 Lincoln Dr, Shelby, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Keith B Evans graduated from nursing school in 2012
NPI Data:
- NPI Number: 1750828406
- Provider Enumeration Date: 01/19/2017
- Last Update Date: 01/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 3072820976
- Enrollment ID: I20171117002758
Medical Identifiers
Medical identifiers for Mr Keith B Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750828406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | APRN.CNS.19050 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cleveland Clinic | 1850203555 | 6894 |
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 Keith B Evans allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
|---|
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 Keith B 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 Keith B Evans, ACNS-BC
12 Lincoln Dr,
Shelby, OH 44875-1482
Ph: (419) 961-2873 | Mr Keith B Evans, ACNS-BC
12 Lincoln Dr,
Shelby, OH 44875-1482
Ph: (419) 961-2873 |
Reviews and Comments