Denise Provost, MD in Palo Alto, CA - Medicare Family Medicine

Denise Provost, MD is a medicare enrolled "Family Medicine" physician in Palo Alto, California. Her current practice location is 795 El Camino Real, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 853-2398.

Denise Provost is licensed to practice in California (license number A81016) 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 1780789990.

Contact Information

	Denise Provost, MD
	795 El Camino Real, Palo Alto, CA 94301-2302
	(650) 853-2398
	Not Available

Map and Direction

Physician's Profile

Full Name	Denise Provost
Gender	Female
Speciality	Family Medicine
Location	795 El Camino Real, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780789990
Provider Enumeration Date: 09/13/2006
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 7719997832
Enrollment ID: I20060503000328

Medical Identifiers

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

Identifier	Type	State	Issuer
1780789990	NPI	-	NPPES
00A810160	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A81016 (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. Denise Provost allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Denise 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
Denise Provost, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 853-2970	Denise Provost, MD 795 El Camino Real, Palo Alto, CA 94301-2302 Ph: (650) 853-2398

Reviews and Comments

Family Medicine Doctors in Palo Alto, CA

Dr. Ian J Nelligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Quarry Rd, Palo Alto, CA 94304 Phone: 650-498-5409
Sherry Huang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2984
Mary Hufty, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Tami Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Dr. Diana Chen, MD, MBA Family Medicine Medicare: Medicare Enrolled Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Jay Schlumpberger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-321-4121
Brett Spitnale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2984

Denise Provost, MD - Medicare Family Medicine in Palo Alto, CA