Mr Evan Thomas Latourrette, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Ronkonkoma, New York. He went to Kent State University College Of Podiatric Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Long Island Comprehensive Medical Care Pllc and 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
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 1396266516.
Healthcare Provider's Profile
| Full Name | Mr Evan Thomas Latourrette |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 9 Years |
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| Location | 382 Rosevale Ave, Ronkonkoma, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Evan Thomas Latourrette attended and graduated from Kent State University College Of Podiatric Medicine in 2017
NPI Data:
- NPI Number: 1396266516
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163761743
- Enrollment ID: I20210204002018
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Long Island Comprehensive Medical Care Pllc | 3678731908 | 31 |
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. Mr Evan Thomas Latourrette allows following entities to bill medicare on his behalf.
| Provider Name | Long Island Comprehensive Medical Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043588536
PECOS PAC ID: 3678731908
Enrollment ID: O20120216000068 |
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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 |
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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 |
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