William J Provance, DO | |
681 Goodlette Rd N, Ste 130, Naples, FL 34102-5458 | |
(239) 643-9767 | |
(239) 649-5878 |
Full Name | William J Provance |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 681 Goodlette Rd N, Naples, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174517403 | NPI | - | NPPES |
P00252222 | Other | PA | PALMETTOGBA |
0013977160006 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | OS12406 (Florida) | Primary |
Entity Name | Nchmd Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
Mailing Address | Practice Location Address |
---|---|
William J Provance, DO 3434 Hancock Bridge Pkwy, Ste 301, North Fort Myers, FL 33903-7094 Ph: (877) 856-3774 | William J Provance, DO 681 Goodlette Rd N, Ste 130, Naples, FL 34102-5458 Ph: (239) 643-9767 |
Ricardo Martinez, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 851 5th Ave N Ste 102, Naples, FL 34102 Phone: 239-315-7801 Fax: 855-888-3291 | |
Dr. Karen Moss Ezrine, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 762 Regency Reserve Cir, Naples, FL 34119 Phone: 239-354-1998 | |
Dr. Lawrence Kenneth Harris, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2171 Pine Ridge Rd, Suite F, Naples, FL 34109 Phone: 239-566-7425 Fax: 239-593-3430 | |
Dr. Todd D Brodie, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 661 Goodlette Road Suite 104, Naples, FL 34102 Phone: 239-436-3666 Fax: 239-436-3678 | |
Dr. Frank Michael Elterman, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6101 Pine Ridge Rd, Naples, FL 34119 Phone: 239-330-2933 Fax: 855-691-0391 | |
Vincent Charles Bianca Iii, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 9015 Strada Stell Ct, Suite 201, Naples, FL 34109 Phone: 239-597-5638 Fax: 239-597-5628 | |
Catherine Nina Kowal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1855 Veterans Park Dr, Suite 103, Naples, FL 34109 Phone: 239-596-5220 Fax: 239-643-9816 |