Dr Courtney Lynn Evans, DO in Jackson, MS - Medicare Student in an Organized Health Care Education/Training Program

Dr Courtney Lynn Evans, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-1000.

Dr Courtney Lynn Evans is licensed to practice in * (Not Available) (license number ) 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 1750084117.

Contact Information

	Dr Courtney Lynn Evans, DO
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	Not Available

Physician's Profile

Full Name	Dr Courtney Lynn Evans
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750084117
Provider Enumeration Date: 03/24/2023
Last Update Date: 07/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0446607709
Enrollment ID: I20231107004041

Medical Identifiers

Medical identifiers for Dr Courtney Lynn Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750084117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	T-4886 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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 Courtney Lynn 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
Dr Courtney Lynn Evans, DO 120 District Blvd Apt 343, Jackson, MS 39211-6078 Ph: (806) 241-5671	Dr Courtney Lynn Evans, DO 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

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Dr Courtney Lynn Evans, DO - Medicare Student in an Organized Health Care Education/Training Program in Jackson, MS