Mystical Evans, FNP-C in Canton, GA - Medicare Nurse Practitioner

Mystical Evans, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Canton, Georgia. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Omni Virtual Health Care Inc and her current practice location is 1495 Hickory Flat Hwy Ste 100, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 341-6360.

Mystical Evans is licensed to practice in Georgia (license number RN241432) 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 1982338737.

Contact Information

	Mystical Evans, FNP-C
	1495 Hickory Flat Hwy Ste 100, Canton, GA 30115-4266
	(678) 341-6360
	(678) 626-7900

Map and Direction

Provider's Profile

Full Name	Mystical Evans
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1495 Hickory Flat Hwy Ste 100, Canton, Georgia
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:

Mystical Evans graduated from nursing school in 2022

NPI Data:

NPI Number: 1982338737
Provider Enumeration Date: 07/15/2022
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2062894017
Enrollment ID: I20220808001171

Medical Identifiers

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

Identifier	Type	State	Issuer
1982338737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN241432 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Forsyth	Cumming, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Omni Virtual Health Care Inc	2769883842	12

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. Mystical Evans allows following entities to bill medicare on her behalf.

Entity Name	Southeast Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347

Entity Name	Omni Virtual Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093381709 PECOS PAC ID: 2769883842 Enrollment ID: O20210628000175

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. Mystical 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
Mystical Evans, FNP-C Po Box 459, Colbert, GA 30628-0459 Ph: () -	Mystical Evans, FNP-C 1495 Hickory Flat Hwy Ste 100, Canton, GA 30115-4266 Ph: (678) 341-6360

Reviews and Comments

Nurse Practitioner Nurses in Canton, GA

Mrs. Holly Allen, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115 Phone: 770-292-3490 Fax: 770-721-5615
Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Crystal Rice, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Riverstone Dr, Canton, GA 30114 Phone: 770-281-4487
Kerry Anne Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 Phone: 678-538-2168

Mystical Evans, FNP-C - Medicare Nurse Practitioner in Canton, GA