Katherine Elizabeth Provaznik, DO in La Crosse, WI - Medicare Psychiatry & Neurology

Katherine Elizabeth Provaznik, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in La Crosse, Wisconsin. Her current practice location is 700 West Ave S, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 785-0940.

Katherine Elizabeth Provaznik is licensed to practice in Wisconsin (license number 2974) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376002311.

Contact Information

	Katherine Elizabeth Provaznik, DO
	700 West Ave S, La Crosse, WI 54601-4783
	(608) 785-0940
	Not Available

Map and Direction

Physician's Profile

Full Name	Katherine Elizabeth Provaznik
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	700 West Ave S, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376002311
Provider Enumeration Date: 03/19/2019
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2860735065
Enrollment ID: I20230918001703

Medical Identifiers

Medical identifiers for Katherine Elizabeth Provaznik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376002311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	34.014822 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Ohio)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2974 (Wisconsin)	Primary

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. Katherine Elizabeth Provaznik allows following entities to bill medicare on her behalf.

Entity Name	The Craig And Frances Lindner Center Of Hope
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023207750 PECOS PAC ID: 9032284013 Enrollment ID: O20080903000160

Entity Name	Lindner Center Of Hope Professional Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124425020 PECOS PAC ID: 7012236409 Enrollment ID: O20150506002380

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. Katherine Elizabeth Provaznik 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
Katherine Elizabeth Provaznik, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Katherine Elizabeth Provaznik, DO 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 785-0940

Reviews and Comments

Psychiatry & Neurology Doctors in La Crosse, WI

Mauricio Infante, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 212 11th St S, La Crosse, WI 54601 Phone: 608-392-9555 Fax: 608-392-9432
James Eldon Lean, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Alexander Molter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-785-0940 Fax: 734-786-4915
Mary L Goodsett, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Wonhee Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Janelle L Cooper, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 605-775-9000 Fax: 608-775-6358
Mr. Paul Samuel Spanel, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Katherine Elizabeth Provaznik, DO - Medicare Psychiatry & Neurology in La Crosse, WI