Michael Wynn Provines, MD - Internal Medicine in Edina, MN

Michael Wynn Provines, MD is a Internal Medicine physician based in Edina, Minnesota. Michael Wynn Provines is licensed to practice in New York (license number 220655-01) and his current practice location is 4201 Dunberry Ln, Edina, Minnesota. He can be reached at his office (for appointments etc.) via phone at (954) 496-2260.

NPI number for Michael Wynn Provines is 1568230001 and his current mailing address is 4201 Dunberry Ln, Edina, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568230001.

Contact Information

Michael Wynn Provines, MD
4201 Dunberry Ln,
Edina, MN 55435-1603
(954) 496-2260
(954) 833-2066

Map and Direction




Physician's Profile

Full NameMichael Wynn Provines
GenderMale
SpecialityInternal Medicine
Location4201 Dunberry Ln, Edina, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568230001
  • Provider Enumeration Date: 12/14/2023
  • Last Update Date: 12/14/2023

Medical Identifiers

Medical identifiers for Michael Wynn Provines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568230001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 220655-01 (New York)Primary

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. Michael Wynn Provines is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Wynn Provines, MD
4201 Dunberry Ln,
Edina, MN 55435-1603

Ph: (954) 496-2260
Michael Wynn Provines, MD
4201 Dunberry Ln,
Edina, MN 55435-1603

Ph: (954) 496-2260

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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