Devon James Superville, PHD is a medicare enrolled "Psychologist - Clinical" provider in Houston, Texas. He graduated from healthcare school in 2014 and has 10 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for 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 | 10 Years |
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| Location | 6201 Bonhomme Rd Ste 178n, Houston, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for 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 | 119 |
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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