Cynthia J Provow, MD is a medicare enrolled "General Practice" physician in Canton, New York. Her current practice location is
80 State Highway 310 Ste 1, Canton, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 386-2189.
Cynthia J Provow is licensed to practice in New York (license number 259347) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922288844.
Physician's Profile
Full Name | Cynthia J Provow |
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Gender | Female |
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Speciality | General Practice |
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Location | 80 State Highway 310 Ste 1, Canton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922288844
- Provider Enumeration Date: 11/08/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4284724857
- Enrollment ID: I20170214000277
Medical Identifiers
Medical identifiers for Cynthia J Provow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922288844 | NPI | - | NPPES |
AA103237 | Other | | HARVARD |
42392 | Other | | HNE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 234215 (Massachusetts) | Secondary |
207V00000X | Obstetrics & Gynecology | 259347 (New York) | Secondary |
208D00000X | General Practice | 259347 (New York) | Primary |
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. Cynthia J Provow 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 |
Cynthia J Provow, MD 80 State Highway 310, Canton, NY 13617-1436 Ph: (315) 386-2189 | Cynthia J Provow, MD 80 State Highway 310 Ste 1, Canton, NY 13617-1436 Ph: (315) 386-2189 |
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