Mr Evan Thomas Latourrette, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Ronkonkoma, New York. His current practice location is
382 Rosevale Ave, Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 667-0388.
Mr Evan Thomas Latourrette is licensed to practice in New York (license number N007080-1) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396266516.
Healthcare Provider's Profile
| Full Name | Mr Evan Thomas Latourrette |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 382 Rosevale Ave, Ronkonkoma, New York |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Evan Thomas Latourrette attended and graduated from in
NPI Data:
- NPI Number: 1396266516
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Evan Thomas Latourrette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396266516 | NPI | - | NPPES |
| B1386739514 | Medicaid | NY | |
| ETINAD01 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | N007080-1 (New York) | Secondary |
| 213E00000X | Podiatrist | N007080 (New York) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | N007080-1 (New York) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | N007080-1 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | N007080-1 (New York) | 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. Mr Evan Thomas Latourrette 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 |
|---|
Mr Evan Thomas Latourrette, DPM
1231 Deer Park Ave,
North Babylon, NY 11703-3104
Ph: (631) 667-0388 | Mr Evan Thomas Latourrette, DPM
382 Rosevale Ave,
Ronkonkoma, NY 11779-3069
Ph: (631) 667-0388 |
Reviews and Comments