| Stephen Michael Evankovich, CAA | |
|
4600 E Sam Houston Pkwy S, Pasadena, TX 77505-3948 | |
| (281) 487-0700 | |
| Not Available |
| Full Name | Stephen Michael Evankovich |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 9 Years |
| Location | 4600 E Sam Houston Pkwy S, Pasadena, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710312301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 1510 (* (Not Available)) | Primary |
| 367H00000X | Anesthesiologist Assistant | 75000024A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | Iu Anesthesiology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Iu Anesthesiology Associates-pediatrics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083651335 PECOS PAC ID: 5698770527 Enrollment ID: O20060927000033 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Evankovich, CAA 714 Fm 1960 West, Suite 206, Houston, TX 77090-3408 Ph: (281) 880-6991 | Stephen Michael Evankovich, CAA 4600 E Sam Houston Pkwy S, Pasadena, TX 77505-3948 Ph: (281) 487-0700 |
Andrew Sumner, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 E Sam Houston Pkwy S, Pasadena, TX 77505 Phone: 281-487-0700 | |
Lan Nguyen, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 E Sam Houston Pkwy S, Pasadena, TX 77505 Phone: 281-487-0700 |