Mr Mark Anthony Provenzano, MD | |
389 New Castle Rd, Butler, PA 16001-1743 | |
(724) 282-2216 | |
(724) 282-1861 |
Full Name | Mr Mark Anthony Provenzano |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 34 Years |
Location | 389 New Castle Rd, Butler, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982791679 | NPI | - | NPPES |
0590636 | Medicaid | PA | |
PR873841 | Other | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 049161L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Butler Memorial Hospital | Butler, PA | Hospital |
Clarion Hospital | Clarion, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Butler Medical Providers | 7416840160 | 294 |
Entity Name | Butler Medical Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619493046 PECOS PAC ID: 7416840160 Enrollment ID: O20040205000830 |
Entity Name | Excela Health Physician Practices, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Anthony Provenzano, MD Po Box 1549, Butler, PA 16003-1549 Ph: (724) 284-5670 | Mr Mark Anthony Provenzano, MD 389 New Castle Rd, Butler, PA 16001-1743 Ph: (724) 282-2216 |
Uzma Shahzad, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Way, Butler, PA 16001 Phone: 724-284-4309 Fax: 724-284-7464 | |
Sanjeev Suri, M.D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 202 W Diamond St, Butler, PA 16001 Phone: 724-431-0253 Fax: 724-431-0254 | |
Dr. Donald Arthur Walters, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 104 Technology Dr, Suite 202, Butler, PA 16001 Phone: 724-482-6062 Fax: 724-482-6117 | |
John Reefer, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 480 E Jefferson St, 2nd Floor, Suite B, Butler, PA 16001 Phone: 727-285-0870 Fax: 724-283-3887 | |
Dr. Thomas B. Pinto, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 127 Onelda Valley Rd, Suite 202, Butler, PA 16001 Phone: 866-620-6761 Fax: 724-283-3043 | |
Dr. Stephanie L Clark, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Way, Butler, PA 16001 Phone: 724-285-0823 Fax: 724-285-0879 | |
Dr. Jessica Marie Buriak, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 480 E Jefferson St, Butler, PA 16001 Phone: 724-431-0633 Fax: 724-431-0428 |