Dr Evan Courville, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. His current practice location is
Msc10 5615, 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 272-3401.
Dr Evan Courville is licensed to practice in New Mexico (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376118224.
Physician's Profile
Full Name | Dr Evan Courville |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Msc10 5615, Albuquerque, New Mexico |
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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: 1376118224
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759785496
- Enrollment ID: I20210803002264
Medical Identifiers
Medical identifiers for Dr Evan Courville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376118224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 326641 (Louisiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | 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 Evan Courville 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 Evan Courville, MD 114 Windberg Ln, Lafayette, LA 70503-5600 Ph: (337) 349-3707 | Dr Evan Courville, MD Msc10 5615, 1 University Of New Mexico, Albuquerque, NM 87131 Ph: (505) 272-3401 |
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