Kathleen Michelle Provanzana, MD in Delaware, OH

Kathleen Michelle Provanzana, MD is a medicare enrolled "Family Medicine" physician in Delaware, Ohio. Her current practice location is 6 Lexington Blvd, Delaware, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 363-3305.

Kathleen Michelle Provanzana is licensed to practice in Ohio (license number 35071152P) 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 1891736013.

Contact Information

	Kathleen Michelle Provanzana, MD
	6 Lexington Blvd, Delaware, OH 43015-1047
	(740) 363-3305
	(740) 383-7942

Map and Direction

Physician's Profile

Full Name	Kathleen Michelle Provanzana
Gender	Female
Speciality	Family Medicine
Location	6 Lexington Blvd, Delaware, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891736013
Provider Enumeration Date: 06/09/2006
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6507894862
Enrollment ID: I20050728001034

Medical Identifiers

Medical identifiers for Kathleen Michelle Provanzana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891736013	NPI	-	NPPES
2025334	Other		AETNA
311098079	Other		TAX ID PHYS AND NON PHYS
311098079	Other		TAX ID #
311098079240	Other		CIGNA
0104351	Other		UHC
080122321	Other		TRAVELERS MEDICARE
2074133	Medicaid	OH
0855442	Other		PALMETTO MEDICARE
353077	Other		SUBMITTER NO.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35071152P (Ohio)	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. Kathleen Michelle Provanzana allows following entities to bill medicare on her behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Marion Area Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053

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. Kathleen Michelle Provanzana 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
Kathleen Michelle Provanzana, MD 6 Lexington Blvd, Delaware, OH 43015-1047 Ph: (740) 363-9021	Kathleen Michelle Provanzana, MD 6 Lexington Blvd, Delaware, OH 43015-1047 Ph: (740) 363-3305

Reviews and Comments

Family Medicine Doctors in Delaware, OH

Gerald L Kremer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Lexington Blvd, Delaware, OH 43015 Phone: 740-363-9021 Fax: 740-383-7942
Logan C Beckett, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 801 Ohio Health Blvd Ste 260, Delaware, OH 43015 Phone: 740-615-0500
Dr. Mark A Hickman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 695 W Central Ave, Delaware, OH 43015 Phone: 740-362-8686 Fax: 740-833-3084
Mohamed K. Abdo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6 Lexington Blvd, Delaware, OH 43015 Phone: 740-363-9021 Fax: 740-363-7962
Jessica M Barnett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ohio Health Blvd, Suite 260, Delaware, OH 43015 Phone: 740-615-0500 Fax: 740-615-0501
Jeffery Alan Madachy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ohiohealth Blvd, Ste 260, Delaware, OH 43015 Phone: 740-615-0500 Fax: 740-615-0501
Courtney Walsh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Lexington Blvd, Delaware, OH 43015 Phone: 740-363-9021 Fax: 740-363-7962

Kathleen Michelle Provanzana, MD - Medicare Family Medicine in Delaware, OH