| Jenna K Provance, PA-C | |
|
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
| (920) 457-4461 | |
| Not Available |
| Full Name | Jenna K Provance |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699295626 | NPI | - | NPPES |
| 1699295626 | Medicaid | WI | |
| K400398570 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4027-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna K Provance, PA-C 2414 W Kohler Memorial Dr, Sheboygan, WI 53081 Ph: (920) 457-4461 | Jenna K Provance, PA-C 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Luke Elliot Stanczyk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2530 | |
Marlee Anne Hall, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Mary Fitzgerald Lovelien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 | |
Emily M Copps, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 | |
Erin Jennifer Leroy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Kaitlin M Nawa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-1935 | |
Courtney E Prasch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 |