Kacey Helena Provenzano, MD - Medicare Urology in Richland, WA

Kacey Helena Provenzano, MD is a medicare enrolled "Urology" physician in Richland, Washington. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2013 and has 11 years of diverse experience with area of expertise as Urology. She is a member of the group practice Kadlec Regional Medical Center and her current practice location is 780 Swift Blvd Ste 201, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 942-3288.

Kacey Helena Provenzano is licensed to practice in Washington (license number MD60964556) 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 1740523158.

Contact Information

Kacey Helena Provenzano, MD
780 Swift Blvd Ste 201,
Richland, WA 99352
(509) 942-3288
(509) 942-3167

Map and Direction




Physician's Profile

Full NameKacey Helena Provenzano
GenderFemale
SpecialityUrology
Experience11 Years
Location780 Swift Blvd Ste 201, Richland, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kacey Helena Provenzano attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2013
  NPI Data:
  • NPI Number: 1740523158
  • Provider Enumeration Date: 04/03/2013
  • Last Update Date: 06/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840416707
  • Enrollment ID: I20191010002227

Medical Identifiers

Medical identifiers for Kacey Helena Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740523158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 264720 (Massachusetts)Secondary
208800000XUrology MD60964556 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kadlec Regional Medical CenterRichland, WAHospital
Providence St Mary Medical CenterWalla walla, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kadlec Regional Medical Center9739098617338

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. Kacey Helena Provenzano allows following entities to bill medicare on her behalf.
Entity NameKadlec Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972507580
PECOS PAC ID: 9739098617
Enrollment ID: O20031104000035

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. Kacey Helena 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 AddressPractice Location Address
Kacey Helena Provenzano, MD
550 Gage Blvd Ste 101,
Richland, WA 99352-9532

Ph: (509) 942-3288
Kacey Helena Provenzano, MD
780 Swift Blvd Ste 201,
Richland, WA 99352

Ph: (509) 942-3288

Reviews and Comments


Urology Doctors in Richland, WA

David D Vance, M.D.
Urology
Medicare: May Accept Medicare Assignments
Practice Location: 948 Stevens Dr Ste A, Richland, WA 99352
Phone: 509-946-5150    Fax: 509-946-6547
Fred M Foss, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352
Phone: 509-946-5150    Fax: 509-946-6547
Naeem T Chavla, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352
Phone: 509-946-5150    Fax: 509-946-6547
Dr. Patrick W Gavin, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352
Phone: 509-942-3165    Fax: 509-942-3167
Julio Slongo, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352
Phone: 509-942-3070    Fax: 509-942-3167

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.