Dr Courtney Lynn Evans, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. Her current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 984-1000.
Dr Courtney Lynn Evans is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750084117.
Physician's Profile
Full Name | Dr Courtney Lynn Evans |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750084117
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 07/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446607709
- Enrollment ID: I20231107004041
Medical Identifiers
Medical identifiers for Dr Courtney Lynn Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750084117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | T-4886 (Mississippi) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Courtney Lynn 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 Address | Practice Location Address |
Dr Courtney Lynn Evans, DO 120 District Blvd Apt 343, Jackson, MS 39211-6078 Ph: (806) 241-5671 | Dr Courtney Lynn Evans, DO 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000 |
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