Brian Richard Evans, LPC in Goodyear, AZ - Medicare Counselor Provider

Brian Richard Evans, LPC is a medicare enrolled "Counselor - Professional" provider in Goodyear, Arizona. His current practice location is 4649 N 177th Dr, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 230-7373.

Brian Richard Evans is licensed to practice in Arizona (license number LPC-18674) 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 1417583212.

Contact Information

	Brian Richard Evans, LPC
	4649 N 177th Dr, Goodyear, AZ 85395-4403
	(602) 230-7373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Richard Evans
Gender	Male
Speciality	Counselor - Professional
Location	4649 N 177th Dr, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417583212
Provider Enumeration Date: 03/12/2020
Last Update Date: 05/29/2026

Medicare PECOS Information:

PECOS PAC ID: 4284084419
Enrollment ID: I20231229001062

Medical Identifiers

Medical identifiers for Brian Richard Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417583212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-18674 (Arizona)	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. Brian Richard Evans allows following entities to bill medicare on his behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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. Brian Richard 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
Brian Richard Evans, LPC 4649 N 177th Dr, Goodyear, AZ 85395-4403 Ph: (623) 399-7361	Brian Richard Evans, LPC 4649 N 177th Dr, Goodyear, AZ 85395-4403 Ph: (602) 230-7373

Reviews and Comments

Counselor in Goodyear, AZ

Ms. Diana Iris Sanchez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 N Litchfield Rd Ste 105, Goodyear, AZ 85338 Phone: 623-556-6038
Katherine Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17427 W Wandering Creek Rd, Goodyear, AZ 85338 Phone: 253-208-0756
Mrs. Courtney Jackson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4045 S 180th Dr, Goodyear, AZ 85338 Phone: 480-937-9546
Mrs. Maria Isabel Marquez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16692 W Belleview St, Goodyear, AZ 85338 Phone: 602-910-9983
Charlise Tindle, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 N Litchfield Rd Ste 270, Goodyear, AZ 85395 Phone: 623-640-8521
Maritza Alvarado Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14535 W Indian School Rd Ste 120, Goodyear, AZ 85395 Phone: 623-335-2290
Samantha Lee Plancon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16247 W Culver St, Goodyear, AZ 85338 Phone: 602-758-8343

Brian Richard Evans, LPC - Medicare Counselor in Goodyear, AZ