Dr Jack C Evans, MD - Medicare Family Practice in Laurel, MS

Dr Jack C Evans, MD is a medicare enrolled "Family Medicine" physician in Laurel, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice South Central Clinics, Inc and his current practice location is 1440 Jefferson St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 428-0577.

Dr Jack C Evans is licensed to practice in Mississippi (license number 09103) 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 1396784187.

Contact Information

Dr Jack C Evans, MD
1440 Jefferson St,
Laurel, MS 39440-4243
(601) 428-0577
(601) 649-7962



Physician's Profile

Full NameDr Jack C Evans
GenderMale
SpecialityFamily Practice
Experience44 Years
Location1440 Jefferson St, Laurel, Mississippi
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:
  • Dr Jack C Evans attended and graduated from University Of Mississippi School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1396784187
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 02/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3678588993
  • Enrollment ID: I20060208000213

Medical Identifiers

Medical identifiers for Dr Jack C Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396784187NPI-NPPES
00014780MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 09103 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Comfortcare Home HealthLaurel, MSHome health agency
Deaconess Homecare- Region 1Laurel, MSHome health agency
Comfortcare HospiceLaurel, MSHospice
Deaconess HospiceLaurel, MSHospice
South Central Reg Med CtrLaurel, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Central Clinics, Inc4385876655106

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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. Dr Jack C Evans allows following entities to bill medicare on his behalf.
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834

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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. Dr Jack C 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
Dr Jack C Evans, MD
Po Box 247,
Laurel, MS 39441-0247

Ph: (601) 399-6167
Dr Jack C Evans, MD
1440 Jefferson St,
Laurel, MS 39440-4243

Ph: (601) 428-0577

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Family Medicine Doctors in Laurel, MS

Carol Richardson,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 S 12th Ave, Laurel, MS 39440
Phone: 601-399-1970    
Dr. Charles Aaron Hollingshead, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-426-4739    Fax: 601-399-6281
Dr. Jonathan J Polhemus, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-426-4507    Fax: 601-426-4228
Dr. George R Bush, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 307 S 13th Avenue, Laurel, MS 39440
Phone: 601-649-7600    Fax: 601-649-7628
Dr. Mona Genelle Pernia, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1220 Jefferson St, Laurel, MS 39440
Phone: 601-426-4000    Fax: 601-399-6281
Callissa G Ladner, NP-C
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1706 W 12th St, Laurel, MS 39440
Phone: 601-369-2028    Fax: 601-649-7805
Dr. Jaishri B Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 212 S 13th Ave, Laurel, MS 39440
Phone: 604-649-3821    Fax: 601-649-3827

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