Augie N Provencio, - Medicare Family Practice in Livingston, CA

  1. Home
  2. Family Medicine
  3. CA
  4. Livingston
Augie N Provencio, is a medicare enrolled "Family Medicine" physician in Livingston, California. He went to New York Medical College and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Timothy S Johnston Md Pc and his current practice location is 600 B St Bldg A-c, Livingston, California. You can reach out to his office (for appointments etc.) via phone at (209) 850-3500.

Augie N Provencio is licensed to practice in California (license number A48099) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467590158.

Contact Information

Augie N Provencio,
600 B St Bldg A-c,
Livingston, CA 95334-9593
(209) 850-3500
Not Available

Map and Direction




Physician's Profile

Full NameAugie N Provencio
GenderMale
SpecialityFamily Practice
Experience36 Years
Location600 B St Bldg A-c, Livingston, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Augie N Provencio attended and graduated from New York Medical College in 1988
  NPI Data:
  • NPI Number: 1467590158
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 03/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204866916
  • Enrollment ID: I20071203000559

Medical Identifiers

Medical identifiers for Augie N Provencio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467590158NPI-NPPES
00A480990MedicaidCA
539497MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 36333 (Arizona)Secondary
207Q00000XFamily Medicine 3673 (Alaska)Secondary
207Q00000XFamily Medicine A48099 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Timothy S Johnston Md Pc14566382387

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. Augie N Provencio allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameOakdale Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598862054
PECOS PAC ID: 4587567490
Enrollment ID: O20040216000564
Entity NameLivingston Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427110329
PECOS PAC ID: 8820084692
Enrollment ID: O20040426000617
Entity NameSan Joaquin Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588960413
PECOS PAC ID: 6305022047
Enrollment ID: O20110516000103
Entity NameBig River Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033501168
PECOS PAC ID: 2466764303
Enrollment ID: O20150706002430
Entity NameTimothy S Johnston Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407306665
PECOS PAC ID: 1456638238
Enrollment ID: O20170503002455

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. Augie N Provencio 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
Augie N Provencio,
600 B St Bldg A-c,
Livingston, CA 95334-9593

Ph: (209) 850-3500		Augie N Provencio,
600 B St Bldg A-c,
Livingston, CA 95334-9593

Ph: (209) 850-3500

Reviews and Comments


Family Medicine Doctors in Livingston, CA

Dr. Afnan Aisha Qadeer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1140 Main St, Livingston, CA 95334
Phone: 209-394-7913    Fax: 209-394-3660
Mr. Ganesan Venkatapathy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1140 Main St, Livingston, CA 95334
Phone: 209-394-1362    Fax: 209-394-1369
Karen Marie Romero, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1140 Main St, Livingston, CA 95334
Phone: 209-394-7913    Fax: 209-394-3021
Glen Villanueva, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 B St, Livingston, CA 95334
Phone: 209-850-3500    Fax: 209-850-3499

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.