Ms Victoria M Evelyn, PA - Medicare Physician Assistant in Boulder, CO

Ms Victoria M Evelyn, PA is a medicare enrolled "Physician Assistant - Medical" in Boulder, Colorado. Her current practice location is 1755 48th St Ste 100, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 604-5000.

Ms Victoria M Evelyn is licensed to practice in Colorado (license number PA.0008275) 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 1114332020.

Contact Information

Ms Victoria M Evelyn, PA
1755 48th St Ste 100,
Boulder, CO 80301-2712
(303) 604-5000
Not Available



Provider's Profile

Full NameMs Victoria M Evelyn
GenderFemale
SpecialityPhysician Assistant - Medical
Location1755 48th St Ste 100, Boulder, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114332020
  • Provider Enumeration Date: 06/30/2014
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173815099
  • Enrollment ID: I20160713000134

Medical Identifiers

Medical identifiers for Ms Victoria M Evelyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114332020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110004619 (Virginia)Secondary
363AM0700XPhysician Assistant - Medical PA.0008275 (Colorado)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. Ms Victoria M Evelyn 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
Ms Victoria M Evelyn, PA
4092 Foxwood Dr,
Virginia Beach, VA 23462-5225

Ph: (757) 467-4200
Ms Victoria M Evelyn, PA
1755 48th St Ste 100,
Boulder, CO 80301-2712

Ph: (303) 604-5000

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Physician Assistant Nurses in Boulder, CO

Tara Adams, MSPAS, PA-C
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Phone: 303-938-5700    Fax: 303-998-0007
Ms. Janice Andrea Montoya, PA C
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Medicare: Not Enrolled in Medicare
Practice Location: 1755 48th St Ste 100, Boulder, CO 80301
Phone: 720-932-7714    Fax: 720-890-0502
Darrin Paul Guitreau, PA-C
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Practice Location: 4895 Riverbend Rd, Boulder, CO 80301
Phone: 720-279-9098    
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Medicare: Accepting Medicare Assignments
Practice Location: 2525 13th St, Boulder, CO 80304
Phone: 303-449-6050    Fax: 720-565-4132
Mr. Vaheed Weston Fakoor Sevvom, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5387 Manhattan Cir, Suite 200, Boulder, CO 80303
Phone: 303-494-7773    Fax: 303-494-1104
Rachel E Hess, PAC
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Medicare: Accepting Medicare Assignments
Practice Location: 2525 13th St, Boulder, CO 80304
Phone: 303-449-6050    Fax: 720-565-4132
Paul Edward Young,
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Medicare: Accepting Medicare Assignments
Practice Location: 1100 Balsam Ave, Boulder, CO 80304
Phone: 303-440-2037    Fax: 303-306-7753

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