Devon James Superville, PHD is a medicare enrolled "Psychologist - Clinical" provider in Houston, Texas. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Doctor On Demand Professionals P C and his current practice location is
6201 Bonhomme Rd Ste 178n, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 771-2685.
Devon James Superville is licensed to practice in Texas (license number 33636) 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 1487964706.
Healthcare Provider's Profile
| Full Name | Devon James Superville |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 6201 Bonhomme Rd Ste 178n, Houston, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Devon James Superville graduated from medical school in 2014
NPI Data:
- NPI Number: 1487964706
- Provider Enumeration Date: 10/20/2010
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547551087
- Enrollment ID: I20160614001044
Medical Identifiers
Medical identifiers for Devon James Superville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487964706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 62990 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33636 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Doctor On Demand Professionals P C | 9436464567 | 145 |
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. Devon James Superville allows following entities to bill medicare on his behalf.
| Entity Name | Supportive Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477895043
PECOS PAC ID: 7719126655
Enrollment ID: O20130625000484 |
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| Entity Name | Doctor On Demand Professionals P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20230911004112 |
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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. Devon James Superville 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 Address | Practice Location Address |
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Devon James Superville, PHD
3 Sugar Creek Center Blvd, Ste. 100,
Sugar Land, TX 77478-2210
Ph: (281) 771-2685 | Devon James Superville, PHD
6201 Bonhomme Rd Ste 178n,
Houston, TX 77036
Ph: (281) 771-2685 |
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