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Michael Richard Evankovich (MD)

Michael Richard Evankovich (MD) is a health care provider specializes in Urology. He is associated with medical group practice ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC and is affiliated with 3 hospitals as shown below.

profile-icon Basic Information

Practice Location 311 W 24th St, Suite 101, Erie, PA 16502-2665, US
Practice Location Phone814-452-4214
Practice Location Fax814-459-7823
GenderMale
Specialty InUrology
Medical SchoolPennsylvania State University College Of Medicine
Graduation Year1994
NPI ?1689621898
PECOS ID7911910898
Enrollment IDI20060718000266
Entity TypeIndividual
Enumeration Date ? May 31, 2006
Last Update Date ? Jan 18, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Michael Richard Evankovich

SpecialtySpecializationLicenseLicense State
Urology MD060400LPennsylvania

Medicare-icon Medicare Participation of Michael Richard Evankovich

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health RecordsYes
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Michael Richard Evankovich

Medical Group PracticeSt Vincent Medical Education And Research Institute Inc
Affiliation 1 Saint Vincent Hospital
Affiliation 2 Titusville Hospital
Affiliation 3 Corry Memorial Hospital

legacy-id-icon Legacy Provider IDs of Michael Richard Evankovich

Provider IdIssuer StateIssuer TypeIssuer
00025198402New YorkOtherUNIVERA
02079629New YorkOtherNY MEDICAL ASSISTANCE
2662659OhioOtherOH MEDICAL ASSISTANCE
0017973700003PennsylvaniaMedicaid
212543PennsylvaniaOtherUPMC
1041777PennsylvaniaOtherGATEWAY
182151PennsylvaniaOtherUNISON
261978PennsylvaniaOtherBLUE SHIELD
P00324768PennsylvaniaOtherRR MEDICARE
1278964PennsylvaniaOtherAETNA