Evelyn H Duvivier, MD is a medicare enrolled "Emergency Medicine" physician in Gladwyne, Pennsylvania. Her current practice location is
715 Dodds Ln, Gladwyne, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 715-4100.
Evelyn H Duvivier is licensed to practice in Pennsylvania (license number MD423662) 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 1730235110.
Physician's Profile
Full Name | Evelyn H Duvivier |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 715 Dodds Ln, Gladwyne, Pennsylvania |
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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: 1730235110
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 06/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486656220
- Enrollment ID: I20070208000121
Medical Identifiers
Medical identifiers for Evelyn H Duvivier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730235110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD423662 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | MD423662 (Pennsylvania) | Primary |
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. Evelyn H Duvivier allows following entities to bill medicare on her behalf.
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
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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. Evelyn H Duvivier 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 |
Evelyn H Duvivier, MD 715 Dodds Ln, Gladwyne, PA 19035-1516 Ph: (610) 715-4100 | Evelyn H Duvivier, MD 715 Dodds Ln, Gladwyne, PA 19035-1516 Ph: (610) 715-4100 |
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