Stacey D Evans, RN,MSN,FNP in Los Angeles, CA

Stacey D Evans, RN,MSN,FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Usc Care Medical Group Inc, Columbia Emergency Medical Group Inc and her current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (800) 872-2273.

Stacey D Evans is licensed to practice in California (license number 20170) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043528987.

Contact Information

	Stacey D Evans, RN,MSN,FNP
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(800) 872-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey D Evans
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1500 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey D Evans graduated from nursing school in 2010

NPI Data:

NPI Number: 1043528987
Provider Enumeration Date: 09/14/2010
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5991971244
Enrollment ID: I20120109000221

Medical Identifiers

Medical identifiers for Stacey D Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043528987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20170 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1128
Columbia Emergency Medical Group Inc	2668376500	34

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. Stacey D Evans allows following entities to bill medicare on her behalf.

Entity Name	Columbia Emergency Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871551119 PECOS PAC ID: 2668376500 Enrollment ID: O20031121000897

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Stacey D 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
Stacey D Evans, RN,MSN,FNP Po Box 31309, Los Angeles, CA 90031-0309 Ph: (626) 457-6601	Stacey D Evans, RN,MSN,FNP 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (800) 872-2273

Reviews and Comments

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Stacey D Evans, RN,MSN,FNP - Medicare Nurse Practitioner in Los Angeles, CA