Heather Lynne Provence, PMHNP - Medicare Nurse Practitioner in New Providence, NJ

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Heather Lynne Provence, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New Providence, New Jersey. Her current practice location is 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 277-8900.

Heather Lynne Provence is licensed to practice in New Jersey (license number 26NJ01289400) 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 1295221612.

Contact Information

Heather Lynne Provence, PMHNP
890 Mountain Ave, Behavioral Health & Cognitive Therapy,
New Providence, NJ 07974
(908) 277-8900
(908) 508-8919

Map and Direction




Provider's Profile

Full NameHeather Lynne Provence
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location890 Mountain Ave, New Providence, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295221612
  • Provider Enumeration Date: 07/09/2018
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345585741
  • Enrollment ID: I20181212002614

Medical Identifiers

Medical identifiers for Heather Lynne Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295221612NPI-NPPES
05265370MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F402394-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01289400 (New Jersey)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. Heather Lynne Provence allows following entities to bill medicare on her behalf.
Entity NameThe Westchester Medical Group, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881653822
PECOS PAC ID: 6406752963
Enrollment ID: O20031208000533
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375
Entity NameBrightpoint Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003093436
PECOS PAC ID: 6800951989
Enrollment ID: O20090225000068

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. Heather Lynne Provence 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 AddressPractice Location Address
Heather Lynne Provence, PMHNP
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Heather Lynne Provence, PMHNP
890 Mountain Ave, Behavioral Health & Cognitive Therapy,
New Providence, NJ 07974

Ph: (908) 277-8900

Reviews and Comments


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Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8799    Fax: 908-608-2376

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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