Ms Mary Grace Evasco Vinson, FNP - Medicare Nurse Practitioner in Crestview, FL

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Ms Mary Grace Evasco Vinson, FNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Crestview, Florida. Her current practice location is 302 E James Lee Blvd, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (302) 325-3928.

Ms Mary Grace Evasco Vinson is licensed to practice in Florida (license number ARNP11026114) 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 1083303481.

Contact Information

Ms Mary Grace Evasco Vinson, FNP
302 E James Lee Blvd,
Crestview, FL 32539-2827
(302) 325-3928
Not Available

Map and Direction




Provider's Profile

Full NameMs Mary Grace Evasco Vinson
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location302 E James Lee Blvd, Crestview, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083303481
  • Provider Enumeration Date: 05/02/2023
  • Last Update Date: 09/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9739539149
  • Enrollment ID: I20231227003340

Medical Identifiers

Medical identifiers for Ms Mary Grace Evasco Vinson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083303481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11026114 (Florida)Secondary
363LA2100XNurse Practitioner - Acute Care ARNP11026114 (Florida)Secondary
363LC1500XNurse Practitioner - Community Health ARNP11026114 (Florida)Secondary
363LF0000XNurse Practitioner - Family ARNP11026114 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health ARNP11026114 (Florida)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. Ms Mary Grace Evasco Vinson allows following entities to bill medicare on her behalf.
Entity NameDynamic Pain & Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285007989
PECOS PAC ID: 8527364058
Enrollment ID: O20160310000011
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20191008003842

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. Ms Mary Grace Evasco Vinson 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 AddressPractice Location Address
Ms Mary Grace Evasco Vinson, FNP
302 E James Lee Blvd,
Crestview, FL 32539-2827

Ph: (866) 389-2727		Ms Mary Grace Evasco Vinson, FNP
302 E James Lee Blvd,
Crestview, FL 32539-2827

Ph: (302) 325-3928

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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