Lisa Ann Provost, CRNA in Marietta, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa Ann Provost, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marietta, Ohio. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Oasis Anesthesia Llc, Medstream Anesthesia Pllc and her current practice location is 401 Matthew St, Marietta, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 376-1994.

Lisa Ann Provost is licensed to practice in Ohio (license number COA.04992-NA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235106840.

Contact Information

	Lisa Ann Provost, CRNA
	401 Matthew St, Marietta, OH 45750-1635
	(740) 376-1994
	(740) 376-1940

Map and Direction

Provider's Profile

Full Name	Lisa Ann Provost
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	28 Years
Location	401 Matthew St, Marietta, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Ann Provost graduated from nursing school in 1996

NPI Data:

NPI Number: 1235106840
Provider Enumeration Date: 03/02/2006
Last Update Date: 12/13/2017

Medicare PECOS Information:

PECOS PAC ID: 1850367459
Enrollment ID: I20160613002086

Medical Identifiers

Medical identifiers for Lisa Ann Provost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235106840	NPI	-	NPPES
0069080000	Medicaid	WV
0282617	Medicaid	OH
74472408	Medicaid	KY
000000339679	Other	KY	ANTHEM BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3485A (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	COA.04992-NA (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tidelands Waccamaw Community Hospital	Murrells inlet, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oasis Anesthesia Llc	5597063834	9
Medstream Anesthesia Pllc	7416198049	570

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. Lisa Ann Provost allows following entities to bill medicare on her behalf.

Entity Name	Day Surgery Limited Liability
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295853885 PECOS PAC ID: 5991697252 Enrollment ID: O20040330000197

Entity Name	Oasis Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720470792 PECOS PAC ID: 5597063834 Enrollment ID: O20180917000088

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. Lisa Ann Provost 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
Lisa Ann Provost, CRNA Po Box 449, Marietta, OH 45750-0449 Ph: (740) 374-4500	Lisa Ann Provost, CRNA 401 Matthew St, Marietta, OH 45750-1635 Ph: (740) 376-1994

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marietta, OH

John Lyle Darnell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940
Crystal M Hopper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940
Lori Lee Lehman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940
Mildred Marie Harriman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-374-1580 Fax: 740-376-1940
William F Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-9990 Fax: 740-376-9993
Ms. Ashley Joy Galadyna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-568-5427 Fax: 740-376-5073
Martha J Willhide, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Matthew St, Marietta, OH 45750 Phone: 740-376-1994 Fax: 740-376-1940

Lisa Ann Provost, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Marietta, OH