Tetyana Evans, PMHNP in Pasadena, MD - Medicare Nurse Practitioner

Tetyana Evans, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pasadena, Maryland. Her current practice location is 2528 Mountain Rd Ste 102-204, Pasadena, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 839-6928.

Tetyana Evans is licensed to practice in Maryland (license number R173941) 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 1285927723.

Contact Information

	Tetyana Evans, PMHNP
	2528 Mountain Rd Ste 102-204, Pasadena, MD 21122-7203
	(443) 839-6928
	Not Available

Map and Direction

Provider's Profile

Full Name	Tetyana Evans
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2528 Mountain Rd Ste 102-204, Pasadena, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285927723
Provider Enumeration Date: 05/17/2011
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3173700457
Enrollment ID: I20110614000688

Medical Identifiers

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

Identifier	Type	State	Issuer
1285927723	NPI	-	NPPES
041988500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R173941 (Maryland)	Primary
363LA2200X	Nurse Practitioner - Adult Health	R173941 (Maryland)	Secondary

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

Entity Name	Triumph Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376999581 PECOS PAC ID: 9739470667 Enrollment ID: O20160623000286

Entity Name	Matclinic Physicians Practice Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490

Entity Name	Evolve Life Centers Iop Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568123966 PECOS PAC ID: 6002291051 Enrollment ID: O20220913000039

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. Tetyana 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
Tetyana Evans, PMHNP 2528 Mountain Rd, Pasadena, MD 21122-7203 Ph: (443) 548-3733	Tetyana Evans, PMHNP 2528 Mountain Rd Ste 102-204, Pasadena, MD 21122-7203 Ph: (443) 839-6928

Reviews and Comments

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Tetyana Evans, PMHNP - Medicare Nurse Practitioner in Pasadena, MD