Terri A Evans, PHD in Pueblo, CO - Medicare Psychologist Provider

Terri A Evans, PHD is a medicare enrolled "Psychologist" provider in Pueblo, Colorado. Her current practice location is 1600 W 24th St, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 546-4837.

Terri A Evans is licensed to practice in Colorado (license number 2082) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780612200.

Contact Information

	Terri A Evans, PHD
	1600 W 24th St, Pueblo, CO 81003-1411
	(719) 546-4837
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terri A Evans
Gender	Female
Speciality	Psychologist
Location	1600 W 24th St, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780612200
Provider Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5991190597
Enrollment ID: I20220317001732

Medical Identifiers

Medical identifiers for Terri A Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780612200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2082 (Colorado)	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. Terri A Evans allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20170109001756

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. Terri A 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
Terri A Evans, PHD 1600 W 24th St, Pueblo, CO 81003-1411 Ph: (719) 546-4837	Terri A Evans, PHD 1600 W 24th St, Pueblo, CO 81003-1411 Ph: (719) 546-4837

Reviews and Comments

Psychologist in Pueblo, CO

Tiffany Duffing, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552

Terri A Evans, PHD - Medicare Psychologist in Pueblo, CO