Evan Melville, DO - Medicare Sports Medicine in Boise, ID

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Evan Melville, DO is a medicare enrolled "Pediatrics - Sports Medicine" physician in Boise, Idaho. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 2619 W Fairview Ave, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 706-9311.

Evan Melville is licensed to practice in Idaho (license number O-1882) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942867148.

Contact Information

Evan Melville, DO
2619 W Fairview Ave,
Boise, ID 83702-6722
(208) 706-9311
(208) 489-4300

Map and Direction




Physician's Profile

Full NameEvan Melville
GenderMale
SpecialitySports Medicine
Experience6 Years
Location2619 W Fairview Ave, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan Melville graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1942867148
  • Provider Enumeration Date: 05/22/2019
  • Last Update Date: 12/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698122299
  • Enrollment ID: I20231102003982

Medical Identifiers

Medical identifiers for Evan Melville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942867148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine O-1882 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc49818784021062

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. Evan Melville allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Evan Melville 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 AddressPractice Location Address
Evan Melville, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -		Evan Melville, DO
2619 W Fairview Ave,
Boise, ID 83702-6722

Ph: (208) 706-9311

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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