Mr Matthew Thomas Evans, in Lackland Afb, TX - Medicare Nurse Practitioner

Mr Matthew Thomas Evans, is a medicare enrolled "Nurse Practitioner - Family" in Lackland Afb, Texas. His current practice location is 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-3709.

Mr Matthew Thomas Evans is licensed to practice in Michigan (license number 4704277573) 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 1144728593.

Contact Information

	Mr Matthew Thomas Evans,
	1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638
	(210) 292-3709
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Matthew Thomas Evans
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1100 Wilford Hall Loop Bldg 4554, Lackland Afb, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144728593
Provider Enumeration Date: 01/30/2018
Last Update Date: 08/31/2021

Medicare PECOS Information:

PECOS PAC ID: 3678835402
Enrollment ID: I20180314002493

Medical Identifiers

Medical identifiers for Mr Matthew Thomas Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144728593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704277573 (Michigan)	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 Matthew Thomas Evans allows following entities to bill medicare on his behalf.

Entity Name	Physician Coverage Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669567806 PECOS PAC ID: 3678536398 Enrollment ID: O20041104000433

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 Matthew Thomas 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 Matthew Thomas Evans, 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 Ph: (210) 292-3709	Mr Matthew Thomas Evans, 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 Ph: (210) 292-3709

Reviews and Comments

Nurse Practitioner Nurses in Lackland Afb, TX

Jasmine Gianni Nurse, WHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7412
Ms. Louise Kim Feuge, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Truemper St, Lackland Afb, TX 78236 Phone: 210-671-9553
Dr. Katrina Crowell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-2003
Mrs. Maria Isabel Nicolas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-2346 Fax: 210-434-1704
Robert Lee Harshaw, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr., Suite 1, Lackland Afb, TX 78236 Phone: 210-292-4857
Ms. Jennifer Jean Galgano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Drive, Attn: Credentials (cme), Suite 1, Lackland Afb, TX 78236 Phone: 510-292-6707

Mr Matthew Thomas Evans, - Medicare Nurse Practitioner in Lackland Afb, TX