Dr Nicole Provost, MD | |
3951 Nw 48th Ter, Suite 101, Gainesville, FL 32606-7228 | |
(352) 265-5230 | |
(352) 265-5231 |
Full Name | Dr Nicole Provost |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 32 Years |
Location | 3951 Nw 48th Ter, Gainesville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336164276 | NPI | - | NPPES |
377914900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME65302 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Gainesville, FL | Home health agency |
Uf Health Shands Hospital | Gainesville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shands Teaching Hospital And Clinics Inc | 2163336504 | 5 |
Entity Name | Shands Teaching Hospital And Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184723777 PECOS PAC ID: 2163336504 Enrollment ID: O20040730000726 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Provost, MD Po Box 100371, Gainesville, FL 32610-0371 Ph: (352) 338-2195 | Dr Nicole Provost, MD 3951 Nw 48th Ter, Suite 101, Gainesville, FL 32606-7228 Ph: (352) 265-5230 |
Rose Michele Emery, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-1161 Fax: 352-846-1422 | |
Dr. Sophia Vanood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 635 Sw 4th Ave, Family Medicine, Gainesville, FL 32601 Phone: 352-273-5159 | |
Maulik Jitesh Jani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 412-439-4915 | |
Barbara Durden, Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-4541 | |
Dr. Kiona R Subramanian, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6228 Nw 43rd St, Suite B, Gainesville, FL 32653 Phone: 352-332-6680 Fax: 352-332-6604 | |
Dr. Xai Ma, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1621 Ne Waldo Rd, Gainesville, FL 32609 Phone: 352-955-5540 Fax: 352-373-5326 | |
Jason Wittlin, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8656 |