Mrs Kimberly K Provoast, PA in West Branch, MI - Medicare Physician Assistant

Mrs Kimberly K Provoast, PA is a medicare enrolled "Physician Assistant" in West Branch, Michigan. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mclaren Central Michigan and her current practice location is 337 E Houghton Ave, West Branch, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 345-5240.

Mrs Kimberly K Provoast is licensed to practice in Michigan (license number 5601005840) 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 1770899551.

Contact Information

	Mrs Kimberly K Provoast, PA
	337 E Houghton Ave, West Branch, MI 48661-1127
	(989) 345-5240
	(989) 345-4513

Map and Direction

Provider's Profile

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.

Medical Education and Training:

Mrs Kimberly K Provoast graduated from nursing school in 2010

NPI Data:

NPI Number: 1770899551
Provider Enumeration Date: 08/31/2010
Last Update Date: 10/18/2012

Medicare PECOS Information:

PECOS PAC ID: 4981888476
Enrollment ID: I20110407000241

Medical Identifiers

Medical identifiers for Mrs Kimberly K Provoast such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770899551	NPI	-	NPPES
1629110556	Other	MI	GROUP NPI
5601005840	Other	MI	MI LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601005840 (Michigan)	Primary

Medical Facilities Affiliation

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 Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Central Michigan	6103733092	155

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. Mrs Kimberly K Provoast 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
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

Reviews and Comments

Physician Assistant Nurses in West Branch, MI

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

Mrs Kimberly K Provoast, PA - Medicare Physician Assistant in West Branch, MI