Dr Rebecca Evanko, is a
Counselor - Mental Health based in Peralta, New Mexico. Dr Rebecca Evanko is licensed to practice in New Mexico (license number CTB20250556) and her current practice location is
7 Wildwood Ln, Peralta, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 585-1958.
NPI number for Dr Rebecca Evanko is 1205713708 and her current mailing address is 7 Wildwood Ln, Peralta, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205713708.
Healthcare Provider's Profile
| Full Name | Dr Rebecca Evanko |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 7 Wildwood Ln, Peralta, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205713708
- Provider Enumeration Date: 08/18/2025
- Last Update Date: 08/18/2025
Medical Identifiers
Medical identifiers for Dr Rebecca Evanko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205713708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | CTB20250556 (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 Rebecca Evanko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Rebecca Evanko, 7 Wildwood Ln, Peralta, NM 87042-8451 Ph: (505) 585-1958 | Dr Rebecca Evanko, 7 Wildwood Ln, Peralta, NM 87042-8451 Ph: (505) 585-1958 |
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