Jill M Provaznik, MD in Corvallis, OR - Medicare Internal Medicine

Jill M Provaznik, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Corvallis, Oregon. She went to University Of Arkansas College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Good Samaritan Hospital Corvallis and her current practice location is 3640 Nw Samaritan Dr Ste 210, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 768-5810.

Jill M Provaznik is licensed to practice in Oregon (license number MD189615) 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 1992185995.

Contact Information

	Jill M Provaznik, MD
	3640 Nw Samaritan Dr Ste 210, Corvallis, OR 97330-3787
	(541) 768-5810
	Not Available

Map and Direction

Physician's Profile

Full Name	Jill M Provaznik
Gender	Female
Speciality	Internal Medicine
Experience	9 Years
Location	3640 Nw Samaritan Dr Ste 210, Corvallis, Oregon
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:

Jill M Provaznik attended and graduated from University Of Arkansas College Of Medicine in 2015

NPI Data:

NPI Number: 1992185995
Provider Enumeration Date: 06/04/2015
Last Update Date: 05/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8123331576
Enrollment ID: I20190225001975

Medical Identifiers

Medical identifiers for Jill M Provaznik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992185995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD189615 (Oregon)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	11262304-1205 (Utah)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	MD189615 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Regional Medical Center	Corvallis, OR	Hospital
Samaritan Albany General Hospital	Albany, OR	Hospital
Samaritan North Lincoln Hospital	Lincoln city, OR	Hospital
Samaritan Pacific Community Hospital	Newport, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Samaritan Hospital Corvallis	1557270725	339

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. Jill M Provaznik allows following entities to bill medicare on her behalf.

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

Entity Name	Samaritan Pacific Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304

Entity Name	Mid-valley Healthcare Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140

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. Jill M Provaznik 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
Jill M Provaznik, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Jill M Provaznik, MD 3640 Nw Samaritan Dr Ste 210, Corvallis, OR 97330-3787 Ph: (541) 768-5810

Reviews and Comments

Internal Medicine Doctors in Corvallis, OR

Tomer Pelleg, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr Ste 227, Corvallis, OR 97330 Phone: 541-768-1261
Dr. Parinav Kanwar, Infectious Disease Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Dr. Stanley J. Nudelman, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140
Dr. Randall V. Bream, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330 Phone: 541-768-5205 Fax: 541-768-5206
Jonathan David Jones, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330 Phone: 541-768-5800
Gemechu Abraham Geleto, Infectious Disease Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Roland Solensky, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Jill M Provaznik, MD - Medicare Internal Medicine in Corvallis, OR