Dr Mark A Provenzano, OD in Lake Jackson, TX - Medicare Optometry Provider

Dr Mark A Provenzano, OD is a medicare enrolled "Optometrist" provider in Lake Jackson, Texas. He went to University Of Houston - College Of Optometry and graduated in 1988 and has 36 years of diverse experience with area of expertise as Optometry. His current practice location is 123 Circle Way, Lake Jackson, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 299-3250.

Dr Mark A Provenzano is licensed to practice in Texas (license number 3979TG) 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 1942486428.

Contact Information

	Dr Mark A Provenzano, OD
	123 Circle Way, Lake Jackson, TX 77566-5233
	(979) 299-3250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark A Provenzano
Gender	Male
Speciality	Optometry
Experience	36 Years
Location	123 Circle Way, Lake Jackson, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark A Provenzano attended and graduated from University Of Houston - College Of Optometry in 1988

NPI Data:

NPI Number: 1942486428
Provider Enumeration Date: 01/15/2008
Last Update Date: 04/21/2009

Medicare PECOS Information:

PECOS PAC ID: 8224198916
Enrollment ID: I20081126000099

Medical Identifiers

Medical identifiers for Dr Mark A Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942486428	NPI	-	NPPES
80775Q	Other		BC/BS TX
1073607370	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3979TG (Texas)	Primary

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. Dr Mark A Provenzano allows following entities to bill medicare on his behalf.

Provider Name	Brazosport Professional Eye Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073607370 PECOS PAC ID: 6800973025 Enrollment ID: O20080411000168

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. Dr Mark A 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
Dr Mark A Provenzano, OD 123 Circle Way, Lake Jackson, TX 77566-5233 Ph: (979) 299-3250	Dr Mark A Provenzano, OD 123 Circle Way, Lake Jackson, TX 77566-5233 Ph: (979) 299-3250

Reviews and Comments

Optometrist in Lake Jackson, TX

Dr. Julie Nguyen Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 Highway 332 W, Suite 100, Lake Jackson, TX 77566 Phone: 979-480-9424 Fax: 979-480-9426
Mark A Provenzano Od Optometrist Medicare: Medicare Enrolled Practice Location: 123 Circle Way, Lake Jackson, TX 77566 Phone: 979-299-3250 Fax: 979-299-1724
The Eye Contact, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4 W Way Ct, Lake Jackson, TX 77566 Phone: 979-297-3937 Fax: 979-297-9889
Dr. Julie Thuydung Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 Highway 332 W, 100, Lake Jackson, TX 77566 Phone: 979-480-9424 Fax: 979-480-9426
Robert G. Haws, O.d. P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 126 Oyster Creek Dr Ste A, Lake Jackson, TX 77566 Phone: 979-299-0100 Fax: 979-299-6181
Dr. William Jackson Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4 West Way Court, Lake Jackson, TX 77566 Phone: 979-297-3937 Fax: 979-297-9889
Texas State Optical Optometrist Medicare: Medicare Enrolled Practice Location: 120 Highway 332 W, Suite A5, Lake Jackson, TX 77566 Phone: 979-297-3095 Fax: 979-297-5410

Dr Mark A Provenzano, OD - Medicare Optometrist in Lake Jackson, TX