Dr David E Provencher Jr, MD is a medicare enrolled "Allergy & Immunology" physician in Plant City, Florida. His current practice location is
106 Southern Oak Drive, Plant City, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 752-8595.
Dr David E Provencher Jr is licensed to practice in Florida (license number ME81615) 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 1326098120.
Physician's Profile
| Full Name | Dr David E Provencher Jr |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 106 Southern Oak Drive, Plant City, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David E Provencher Jr attended and graduated from in
NPI Data:
- NPI Number: 1326098120
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 01/16/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David E Provencher Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326098120 | NPI | - | NPPES |
| 262145201 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | ME81615 (Florida) | Secondary |
| 207K00000X | Allergy & Immunology | ME81615 (Florida) | 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. Dr David E Provencher Jr 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 |
|---|
Dr David E Provencher Jr, MD
Po Box 2156,
Plant City, FL 33564-2156
Ph: (813) 486-2085 | Dr David E Provencher Jr, MD
106 Southern Oak Drive,
Plant City, FL 33563
Ph: (813) 752-8595 |
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