Jeremy M Provencher, PA-C in Manchester, NH - Medicare Physician Assistant

Jeremy M Provencher, PA-C is a medicare enrolled "Physician Assistant" in Manchester, New Hampshire. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Elliot Professional Services and his current practice location is 1 Elliot Way, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 663-2830.

Jeremy M Provencher is licensed to practice in New Hampshire (license number 1333) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861993743.

Contact Information

	Jeremy M Provencher, PA-C
	1 Elliot Way, Manchester, NH 03103-3502
	(603) 663-2830
	(603) 663-1849

Map and Direction

Provider's Profile

Full Name	Jeremy M Provencher
Gender	Male
Speciality	Physician Assistant
Experience	7 Years
Location	1 Elliot Way, Manchester, New Hampshire
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy M Provencher graduated from nursing school in 2017

NPI Data:

NPI Number: 1861993743
Provider Enumeration Date: 02/26/2018
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 2163785510
Enrollment ID: I20180417001960

Medical Identifiers

Medical identifiers for Jeremy M Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861993743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1333 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elliot Hospital	Manchester, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elliot Professional Services	6103727920	314

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. Jeremy M Provencher 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 Address	Practice Location Address
Jeremy M Provencher, PA-C 1 Elliot Way, Manchester, NH 03103-3502 Ph: (603) 663-2830	Jeremy M Provencher, PA-C 1 Elliot Way, Manchester, NH 03103-3502 Ph: (603) 663-2830

Reviews and Comments

Physician Assistant Nurses in Manchester, NH

Rebekah E Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 138 Webster Street, Manchester, NH 03104 Phone: 603-645-5977 Fax: 603-645-5980
Lauren Jean Welton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, D-h Manchester, General Surgery, Manchester, NH 03104 Phone: 603-695-2840
Justina Jane Volodzko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-669-5300
Grace Marie Martel, Physician Assistant Medicare: Medicare Enrolled Practice Location: 168 Poplar St, Manchester, NH 03104 Phone: 603-913-5588
Betsy Garnick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1260 Elm St, Manchester, NH 03101 Phone: 603-314-1701
Jill Ryan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500
Mr. Thomas Kysor, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1260 Elm St, Manchester, NH 03101 Phone: 603-801-1412

Jeremy M Provencher, PA-C - Medicare Physician Assistant in Manchester, NH