Jessica Provo, MD in Leland, NC - Medicare Family Practice

Jessica Provo, MD is a medicare enrolled "Family Medicine" physician in Leland, North Carolina. She went to Tulane University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Novant Health Medical Group Coastal Region Llc and her current practice location is 1333 S Dickinson Dr, Leland, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 332-0241.

Jessica Provo is licensed to practice in North Carolina (license number 2019-00724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699121368.

Contact Information

	Jessica Provo, MD
	1333 S Dickinson Dr, Leland, NC 28451-6430
	(910) 332-0241
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Provo
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	1333 S Dickinson Dr, Leland, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Provo attended and graduated from Tulane University School Of Medicine in 2015

NPI Data:

NPI Number: 1699121368
Provider Enumeration Date: 05/11/2016
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8123312931
Enrollment ID: I20190813001163

Medical Identifiers

Medical identifiers for Jessica Provo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699121368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2019-00724 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New Hanover Regional Medical Center	Wilmington, NC	Hospital
Novant Health Brunswick Medical Center	Supply, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health Medical Group Coastal Region Llc	2860809936	421

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. Jessica Provo allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group Coastal Region Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285

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. Jessica Provo 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
Jessica Provo, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Jessica Provo, MD 1333 S Dickinson Dr, Leland, NC 28451-6430 Ph: (910) 332-0241

Reviews and Comments

Family Medicine Doctors in Leland, NC

Dr. Justin E Asbury, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 Olde Waterford Way Ste 200, Leland, NC 28451 Phone: 910-408-1130 Fax: 910-408-1135
Stefani Meagan Connel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 S Dickinson Dr Unit 230, Leland, NC 28451 Phone: 910-662-6600 Fax: 910-332-0246
Dr. Anette Bodoky, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9101 Ocean Hwy E, Leland, NC 28451 Phone: 910-341-3300 Fax: 910-251-2067
Mr. Kenneth Jerome Hamby, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 Olde Waterford Way Ste 200, Leland, NC 28451 Phone: 910-408-1130 Fax: 910-408-1135
Joana Alexandra Carnahan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 509 Olde Waterford Way Ste 200, Leland, NC 28451 Phone: 910-408-1130 Fax: 910-408-1135
James Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 S Dickinson Dr Unit 230, Leland, NC 28451 Phone: 910-662-6600 Fax: 910-332-0246
John Gregory Player, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 S Dickinson Dr, Leland, NC 28451 Phone: 910-332-0241

Jessica Provo, MD - Medicare Family Practice in Leland, NC