Alex Provo, - Dentist in Ada, MN

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Alex Provo, is a Dentist based in Ada, Minnesota. Alex Provo is licensed to practice in Minnesota (license number D13521) and his current practice location is 200 E Main St, Ada, Minnesota. He can be reached at his office (for appointments etc.) via phone at (218) 784-7119.

NPI number for Alex Provo is 1750762555 and his current mailing address is 18185 Park Dr, Detroit Lakes, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750762555.

Contact Information

Alex Provo,
200 E Main St,
Ada, MN 56510-1354
(218) 784-7119
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlex Provo
GenderMale
SpecialityDentist
Location200 E Main St, Ada, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750762555
  • Provider Enumeration Date: 06/17/2015
  • Last Update Date: 06/17/2015

Medical Identifiers

Medical identifiers for Alex Provo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750762555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13521 (Minnesota)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. Alex Provo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alex Provo,
18185 Park Dr,
Detroit Lakes, MN 56501-7977

Ph: () -		Alex Provo,
200 E Main St,
Ada, MN 56510-1354

Ph: (218) 784-7119

Reviews and Comments


Dentist in Ada, MN

Dr. David A Resnick, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Main St, Ada, MN 56510
Phone: 218-784-7119    Fax: 218-784-2381
Dr. Debra A Ettle, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Main St, Ada, MN 56510
Phone: 218-784-7119    Fax: 218-784-2381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.