Janelle Provost, DC in San Jose, CA - Medicare Chiropractor Provider

Janelle Provost, DC is a medicare enrolled "Chiropractor" provider in San Jose, California. Her current practice location is 1101 S Winchester Blvd Ste M257, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 502-6358.

Janelle Provost is licensed to practice in California (license number 35035) 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 1124606140.

Contact Information

	Janelle Provost, DC
	1101 S Winchester Blvd Ste M257, San Jose, CA 95128-3904
	(408) 502-6358
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Janelle Provost
Gender	Female
Speciality	Chiropractor
Location	1101 S Winchester Blvd Ste M257, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124606140
Provider Enumeration Date: 03/31/2021
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8224473707
Enrollment ID: I20240225000003

Medical Identifiers

Medical identifiers for Janelle Provost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124606140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	35035 (California)	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. Janelle Provost allows following entities to bill medicare on her behalf.

Provider Name	Mati Custom Chiropractic Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831754407 PECOS PAC ID: 5294121562 Enrollment ID: O20220413002473

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. Janelle Provost 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
Janelle Provost, DC 151 Marianna Way, Campbell, CA 95008-1801 Ph: (669) 770-5904	Janelle Provost, DC 1101 S Winchester Blvd Ste M257, San Jose, CA 95128-3904 Ph: (408) 502-6358

Reviews and Comments

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Janelle Provost, DC - Medicare Chiropractor in San Jose, CA