Dr Matthew T Provencher, MD | |
181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | |
(970) 476-1100 | |
(970) 479-5835 |
Full Name | Dr Matthew T Provencher |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 26 Years |
Location | 181 W Meadow Dr, Vail, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831162759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 255099 (Massachusetts) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 56291 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vail Health Hospital | Vail, CO | Hospital |
Montrose Memorial Hospital | Montrose, CO | Hospital |
Community Hospital | Grand junction, CO | Hospital |
Colorado Canyons Hospital And Medical Center | Fruita, CO | Hospital |
Aspen Valley Hospital | Aspen, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steadman Clinic Professional Llc | 7719876226 | 65 |
Entity Name | Steadman Clinic Professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952327835 PECOS PAC ID: 7719876226 Enrollment ID: O20040312000795 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew T Provencher, MD 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 Ph: (970) 476-1100 | Dr Matthew T Provencher, MD 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 Ph: (970) 476-1100 |
Randall W Viola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Scott R Montgomery, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Dr. Justin J Ernat, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-476-1100 | |
Thomas O. Clanton, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Suite 400, Vail, CO 81657 Phone: 970-476-1100 | |
Dr. John H. Peloza, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr Ste 400, Vail, CO 81657 Phone: 970-476-1100 Fax: 970-479-5835 | |
Dr. Benjamin Rothrauff, MD, PHD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 180 S Frontage Rd W, Vail, CO 81657 Phone: 970-476-1100 | |
William I Sterett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 S Frontage Rd W Ste 2700, Vail, CO 81657 Phone: 970-476-7220 Fax: 970-479-9166 |