| Trevor James Evans, | |
|
1025 New Moody Ln, La Grange, KY 40031-9154 | |
| (502) 222-5388 | |
| Not Available |
| Full Name | Trevor James Evans |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 1025 New Moody Ln, La Grange, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245763085 | NPI | - | NPPES |
| 7100666370 | Medicaid | KY | |
| 300019021 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospital / Norton Healthcare Pavilion / Nor | Louisville, KY | Hospital |
| Norton-king's Daughters' Health | Madison, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1368 |
| Professional Anesthesia Services Of Kentucky Pllc | 0244590305 | 351 |
| Sda Consultants Pllc | 3870825912 | 76 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Entity Name | Ema Anesthesia, PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104102268 PECOS PAC ID: 7911174552 Enrollment ID: O20120123000087 |
| Entity Name | Sda Consultants PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor James Evans, 10007 Shining Willow Dr Apt 102, Louisville, KY 40241-3147 Ph: (801) 979-2451 | Trevor James Evans, 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-5388 |
Michael J. Phythian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3886 |
Jessica Mcdannald, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-3347 |