Ms Courtney Vice Habetz, PA-C is a medicare enrolled "Physician Assistant" in Saint Martinville, Louisiana. Her current practice location is
1119 N Main St, Saint Martinville, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 394-7774.
Ms Courtney Vice Habetz is licensed to practice in Louisiana (license number PA.200121) 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 1235268293.
Provider's Profile
Full Name | Ms Courtney Vice Habetz |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1119 N Main St, Saint Martinville, Louisiana |
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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: 1235268293
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 09/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 9638262207
- Enrollment ID: I20070912000757
Medical Identifiers
Medical identifiers for Ms Courtney Vice Habetz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235268293 | NPI | - | NPPES |
1407208 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA.200121 (Louisiana) | 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. Ms Courtney Vice Habetz 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 |
Ms Courtney Vice Habetz, PA-C 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 Ph: (337) 330-0031 | Ms Courtney Vice Habetz, PA-C 1119 N Main St, Saint Martinville, LA 70582-3513 Ph: (337) 394-7774 |
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