Russell L Evans, PA-C - Medicare Physician Assistant in Lewiston, ID

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Russell L Evans, PA-C is a medicare enrolled "Physician Assistant" in Lewiston, Idaho. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Phoenix Radiology, Pllc and his current practice location is 320 Warner Dr, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 743-3523.

Russell L Evans is licensed to practice in Idaho (license number PA-1823) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851871172.

Contact Information

Russell L Evans, PA-C
320 Warner Dr,
Lewiston, ID 83501-4441
(208) 743-3523
(208) 746-8741

Map and Direction




Provider's Profile

Full NameRussell L Evans
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location320 Warner Dr, Lewiston, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Russell L Evans graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1851871172
  • Provider Enumeration Date: 08/16/2018
  • Last Update Date: 06/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345676870
  • Enrollment ID: I20200131002566

Medical Identifiers

Medical identifiers for Russell L Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851871172NPI-NPPES
1851871172MedicaidWA
1851871172MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA61007077 (Washington)Secondary
363A00000XPhysician Assistant PA-1823 (Idaho)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 1851871172 (Idaho)Secondary
2471C3401XRadiologic Technologist - Computed Tomography 408447 (Minnesota)Secondary
2471C3402XRadiologic Technologist - Radiography 408447 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Regional Medical CenterLewiston, IDHospital
Tri-state Memorial HospitalClarkston, WAHospital
Syringa General HospitalGrangeville, IDHospital
St Mary's HospitalCottonwood, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Radiology, Pllc12543903548

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. Russell L Evans allows following entities to bill medicare on his behalf.
Entity NamePhoenix Radiology, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164493334
PECOS PAC ID: 1254390354
Enrollment ID: O20041006001199
Entity NameCatalyst Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912458787
PECOS PAC ID: 2365722105
Enrollment ID: O20161213001188
Entity NameSt Joseph Hospital LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205368404
PECOS PAC ID: 8325325806
Enrollment ID: O20170606002496
Entity NameHospitalist Medicine Physicians of Idaho- Nampa PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558995316
PECOS PAC ID: 2365871688
Enrollment ID: O20200407001850
Entity NameVannvei LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881200517
PECOS PAC ID: 1254743420
Enrollment ID: O20201211000338

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. Russell L 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 AddressPractice Location Address
Russell L Evans, PA-C
320 Warner Dr,
Lewiston, ID 83501-4441

Ph: (208) 743-3523		Russell L Evans, PA-C
320 Warner Dr,
Lewiston, ID 83501-4441

Ph: (208) 743-3523

Reviews and Comments


Physician Assistant Nurses in Lewiston, ID

Kayla Faye Cornell,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 320 Warner Dr, Lewiston, ID 83501
Phone: 208-743-3523    
Christopher V Ricketts, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-799-5280    
Katelyn Brimhall, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1203 Idaho St, Lewiston, ID 83501
Phone: 208-848-8300    Fax: 509-434-0392
Vincent Fibelstad, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    Fax: 208-799-5554
Breanne L Lybyer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Ms. Laura Marie Gifford, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    
Mr. Philip Louis Weidner Ii, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 320 Warner Dr, Lewiston, ID 83501
Phone: 208-743-3523    Fax: 833-941-3874

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.