| Kristene A Provo, PAC | |
|
2835 Fort Missoula Road, Missoula, MT 59804-7408 | |
| (406) 721-5600 | |
| (406) 721-3907 |
| Full Name | Kristene A Provo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2835 Fort Missoula Road, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528002821 | NPI | - | NPPES |
| 0435676 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 126 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristene A Provo, PAC Po Box 7609, Missoula, MT 59807-7609 Ph: (406) 721-5600 | Kristene A Provo, PAC 2835 Fort Missoula Road, Missoula, MT 59804-7408 Ph: (406) 721-5600 |
Patricia Lynn Brewer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2415 S Catlin St, Missoula, MT 59801 Phone: 406-549-0267 | |
Ann Maureen O'connor, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Ruth M West, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Orange St, Suite #207, Missoula, MT 59802 Phone: 406-721-4540 | |
Lina Montopoli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
Mr. Damien Colvin Powledge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 | |
Mr. Matthew Mcgady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 Fax: 406-327-1834 | |
Ms. Mindy Opper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 W. Kent St., Missoula, MT 59801 Phone: 406-721-1646 Fax: 406-543-9890 |