Subject Numbers Regarding Health Provider Authorizations

Authorization No. 181457-3W

October 7, 2019

Please be advised that Dr. Martin L. Evers has resigned his authorization to treat injured workers in the New York State workers’ compensation system effective October 4, 2019. Dr. Evers’ last known practice address is:

Bon Secours Hospital
160 East Main Street
Port Jervis, New York 12771

Dr. Evers is prohibited from rendering treatment and care to injured workers and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Evers for services rendered prior to October 4, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Evers for services rendered prior to October 4, 2019, should not be denied due to his resignation.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.