Johanna Caroline Provencher, DPT in Gulf Breeze, FL - Medicare Physical Therapy Provider

Johanna Caroline Provencher, DPT is a medicare enrolled "Physical Therapist" provider in Gulf Breeze, Florida. She went to Mercy College and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice North Florida Surgeons Pa and her current practice location is 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 916-3700.

Johanna Caroline Provencher is licensed to practice in Florida (license number PT40856) 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 1508481938.

Contact Information

	Johanna Caroline Provencher, DPT
	1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 32561-7808
	(850) 916-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johanna Caroline Provencher
Gender	Female
Speciality	Physical Therapy
Experience	4 Years
Location	1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, Florida
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:

Johanna Caroline Provencher attended and graduated from Mercy College in 2020

NPI Data:

NPI Number: 1508481938
Provider Enumeration Date: 06/11/2020
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 4587087762
Enrollment ID: I20240131003335

Medical Identifiers

Medical identifiers for Johanna Caroline Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508481938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT40856 (Florida)	Primary
225100000X	Physical Therapist	P19565 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Florida Surgeons Pa	2769381391	231

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. Johanna Caroline Provencher allows following entities to bill medicare on her behalf.

Provider Name	North Florida Surgeons Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629

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. Johanna Caroline Provencher 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
Johanna Caroline Provencher, DPT 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725	Johanna Caroline Provencher, DPT 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 32561-7808 Ph: (850) 916-3700

Reviews and Comments

Physical Therapist in Gulf Breeze, FL

Mrs. Jessica Mason Hosford, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 Lighthouse Ct, Gulf Breeze, FL 32563 Phone: 407-493-3815
Mrs. Holly Mcduff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodbluff Ct, Gulf Breeze, FL 32563 Phone: 850-476-0628 Fax: 850-475-1313
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Joachim Drive, Gulf Breeze, FL 32561 Phone: 800-444-6545
Mrs. Diane C. Dejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1153 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-932-9223 Fax: 850-934-0654
Dr. Benjamin James Lockhart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4410 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-749-5215
Miss Serena Dunham, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Gulf Breeze Pkwy, Firstrehab, Gulf Breeze, FL 32561 Phone: 850-942-2180 Fax: 850-934-4181
Stephanie Manuela Green, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-934-2280

Johanna Caroline Provencher, DPT - Medicare Physical Therapist in Gulf Breeze, FL