Mark Phillip Provenzano, MD in Houston, TX - Medicare Orthopedic Surgery

Mark Phillip Provenzano, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Houston, Texas. He went to Baylor College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mark Provenzano Md Pa and his current practice location is 950 Campbell Rd, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 464-0077.

Mark Phillip Provenzano is licensed to practice in Texas (license number 207XX0005X) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1811094584.

Contact Information

	Mark Phillip Provenzano, MD
	950 Campbell Rd, Houston, TX 77024-2804
	(713) 464-0077
	(713) 464-9582

Map and Direction

Physician's Profile

Full Name	Mark Phillip Provenzano
Gender	Male
Speciality	Orthopedic Surgery
Experience	42 Years
Location	950 Campbell Rd, Houston, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Phillip Provenzano attended and graduated from Baylor College Of Medicine in 1982

NPI Data:

NPI Number: 1811094584
Provider Enumeration Date: 09/17/2006
Last Update Date: 05/23/2014

Medicare PECOS Information:

PECOS PAC ID: 4284786773
Enrollment ID: I20090714000531

Medical Identifiers

Medical identifiers for Mark Phillip Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811094584	NPI	-	NPPES
MDG3705	Other	TX	LICENSE NUMBER
0025EP	Other	TX	BCBS PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	207XX0005X (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mark Provenzano Md Pa	1557413044	3

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. Mark Phillip Provenzano allows following entities to bill medicare on his behalf.

Entity Name	Mark Provenzano Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720261456 PECOS PAC ID: 1557413044 Enrollment ID: O20090714000537

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. Mark Phillip Provenzano 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
Mark Phillip Provenzano, MD 950 Campbell Rd, Houston, TX 77024-2804 Ph: (713) 464-0077	Mark Phillip Provenzano, MD 950 Campbell Rd, Houston, TX 77024-2804 Ph: (713) 464-0077

Reviews and Comments

Orthopaedic Surgery Doctors in Houston, TX

Dr. David P Loncarich, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 Main St, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3378
William Donovan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5225 Katy Fwy, Ste 600, Houston, TX 77007 Phone: 832-200-7120
Dr. Walter Richard Lowe, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Fannin St Ste 1700, Houston, TX 77030 Phone: 713-500-6541 Fax: 713-500-0690
Dr. Timothy Joseph Miller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17270 Red Oak Dr, Suite 200, Houston, TX 77090 Phone: 281-440-6960 Fax: 281-440-6205
Michael Anthony Holzman, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Suite Jjl 310, Houston, TX 77030 Phone: 713-500-5154
Michael Edward Berkeley, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1302 Waugh Dr # 684, Houston, TX 77019 Phone: 970-230-0154 Fax: 970-315-0374
Dr. David W Wimberley, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 Main St, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3392

Mark Phillip Provenzano, MD - Medicare Orthopedic Surgery in Houston, TX