Dr David Provenzano, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Sewickley, Pennsylvania. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Pain Diagnostics And Interventional Care Llc, Keystone Rehabilitation Systems Inc, Rehab-bray Llc and his current practice location is
301 Ohio River Blvd Ste 203, Sewickley, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 221-7640.
Dr David Provenzano is licensed to practice in Pennsylvania (license number MD429974) 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 1790796233.
Physician's Profile
| Full Name | Dr David Provenzano |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 25 Years |
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| Location | 301 Ohio River Blvd Ste 203, Sewickley, Pennsylvania |
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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 Provenzano attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1999
NPI Data:
- NPI Number: 1790796233
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870599491
- Enrollment ID: I20061004000519
Medical Identifiers
Medical identifiers for Dr David Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790796233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 12812 (New Hampshire) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 12812 (New Hampshire) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD429974 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pain Diagnostics And Interventional Care Llc | 6103050570 | 3 |
| Keystone Rehabilitation Systems Inc | 7012826753 | 533 |
| Rehab-bray Llc | 8527256460 | 54 |
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. Dr David Provenzano allows following entities to bill medicare on his behalf.
| Entity Name | Pain Diagnostics & Interventional Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548692031
PECOS PAC ID: 6103050570
Enrollment ID: O20131018000604 |
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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 Provenzano 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 |
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Dr David Provenzano, MD
301 Ohio River Blvd Ste 203,
Sewickley, PA 15143-1300
Ph: (412) 221-7640 | Dr David Provenzano, MD
301 Ohio River Blvd Ste 203,
Sewickley, PA 15143-1300
Ph: (412) 221-7640 |
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