Jonathan Evans, DPT - Medicare Physical Therapist in Fort Wayne, IN

Jonathan Evans, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fort Wayne, Indiana. His current practice location is 12722 Tonkel Rd Ste 102, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 739-0300.

Jonathan Evans is licensed to practice in Indiana (license number 05011654A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033493622.

Contact Information

Jonathan Evans, DPT
12722 Tonkel Rd Ste 102,
Fort Wayne, IN 46845-8201
(260) 739-0300
Not Available



Healthcare Provider's Profile

Full NameJonathan Evans
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location12722 Tonkel Rd Ste 102, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033493622
  • Provider Enumeration Date: 10/01/2011
  • Last Update Date: 06/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284952391
  • Enrollment ID: I20150421000673

Medical Identifiers

Medical identifiers for Jonathan Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033493622NPI-NPPES
201289270MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic PT010453 (Georgia)Secondary
2251X0800XPhysical Therapist - Orthopedic 05011654A (Indiana)Primary

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. Jonathan Evans allows following entities to bill medicare on his behalf.
Provider NameProtailored Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1063805042
PECOS PAC ID: 4385962497
Enrollment ID: O20150421000554

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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. Jonathan 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
Jonathan Evans, DPT
11170 Rillito Ln, 301,
Fort Wayne, IN 46845-2079

Ph: (260) 570-8239
Jonathan Evans, DPT
12722 Tonkel Rd Ste 102,
Fort Wayne, IN 46845-8201

Ph: (260) 739-0300

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Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809
Phone: 260-747-2353    
Tia Schrader, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815
Phone: 260-432-4700    
Mr. Todd Michael Sullivan, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-432-5800    Fax: 260-432-9555
Deborah Guebard, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805
Phone: 260-483-2100    
Mr. David L Kuhn, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809
Phone: 260-478-5230    Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845
Phone: 260-266-7400    Fax: 260-266-7439
Elaine Coleman Prouty,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818
Phone: 260-497-0328    

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