Marc Provenzano, is a medicare enrolled "Nurse Practitioner - Acute Care" in Groveton, Texas. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospitalist Medicine Physicians Of Texas Pllc and his current practice location is
493 N Main St, Groveton, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 515-8349.
Marc Provenzano is licensed to practice in Texas (license number 1119122) 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 1285413922.
Provider's Profile
| Full Name | Marc Provenzano |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 493 N Main St, Groveton, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marc Provenzano graduated from nursing school in 2022
NPI Data:
- NPI Number: 1285413922
- Provider Enumeration Date: 09/22/2023
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183154891
- Enrollment ID: I20250211002042
Medical Identifiers
Medical identifiers for Marc Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285413922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 1119122 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
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. Marc Provenzano allows following entities to bill medicare on his behalf.
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021 |
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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. Marc Provenzano 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 |
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Marc Provenzano,
Po Box 395,
Groveton, TX 75845-0395
Ph: () - | Marc Provenzano,
493 N Main St,
Groveton, TX 75845-2498
Ph: (281) 515-8349 |
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