Mrs Kimberly K Provoast, PA | |
337 E Houghton Ave, West Branch, MI 48661-1127 | |
(989) 345-5240 | |
(989) 345-4513 |
Full Name | Mrs Kimberly K Provoast |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 14 Years |
Location | 337 E Houghton Ave, West Branch, Michigan |
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 |
---|---|---|---|
1770899551 | NPI | - | NPPES |
1629110556 | Other | MI | GROUP NPI |
5601005840 | Other | MI | MI LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 5601005840 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Compassus - Northern Michigan | West branch, MI | Hospice |
Mclaren Bay Region | Bay city, MI | Hospital |
Mclaren Central Michigan | Mount pleasant, MI | Hospital |
Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mclaren Central Michigan | 6103733092 | 155 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly K Provoast, PA 337 E Houghton Ave, West Branch, MI 48661-1127 Ph: (989) 345-5240 | Mrs Kimberly K Provoast, PA 337 E Houghton Ave, West Branch, MI 48661-1127 Ph: (989) 345-5240 |
Mr. Brian David Macauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Court St, West Branch, MI 48661 Phone: 989-345-7000 Fax: 989-345-7479 | |
Grant Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 Court St Ste 104, West Branch, MI 48661 Phone: 989-701-2293 Fax: 989-701-2297 | |
Mrs. Amey Lou Moeggenborg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Court St, West Branch, MI 48661 Phone: 989-345-7000 Fax: 989-345-7479 | |
Taylor Erin Sinda, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2463 S M 30, West Branch, MI 48661 Phone: 989-345-3660 | |
Rebekah Lynn Dunn, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Court Street, West Branch, MI 48661 Phone: 989-345-8120 Fax: 989-345-8129 | |
Brendon Matelski, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2463 S M 30, West Branch, MI 48661 Phone: 989-345-3660 | |
Kyle L.r. Sperling, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 611 Court Street, West Branch, MI 48661 Phone: 989-345-1000 Fax: 989-345-5803 |