Danielle Provoncha, CRNA in New London, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Danielle Provoncha, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. She went to Yale University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Charter Anesthesiology Llc and her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Danielle Provoncha is licensed to practice in Connecticut (license number 6012) 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 1619373248.

Contact Information

	Danielle Provoncha, CRNA
	365 Montauk Ave, New London, CT 06320-4700
	(860) 442-0711
	(781) 407-0998

Map and Direction

Provider's Profile

Full Name	Danielle Provoncha
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	365 Montauk Ave, New London, Connecticut
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:

Danielle Provoncha attended and graduated from Yale University School Of Medicine in 2014

NPI Data:

NPI Number: 1619373248
Provider Enumeration Date: 11/10/2014
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7911221981
Enrollment ID: I20150122000129

Medical Identifiers

Medical identifiers for Danielle Provoncha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619373248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	6012 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charter Anesthesiology Llc	2163763830	37

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. Danielle Provoncha allows following entities to bill medicare on her behalf.

Entity Name	Integrated Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163

Entity Name	Anesthesia Associates Of Willimantic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306905799 PECOS PAC ID: 2163506353 Enrollment ID: O20080227000090

Entity Name	Charter Anesthesiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730674532 PECOS PAC ID: 2163763830 Enrollment ID: O20190520001013

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. Danielle Provoncha 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
Danielle Provoncha, CRNA 690 Canton St, Suite 325, Westwood, MA 02090-2321 Ph: (781) 407-7713	Danielle Provoncha, CRNA 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320 Phone: 860-442-0711
Tara M Huta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Sharon B Gallipeau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Thomas Scott Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jolene Marie Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 206-384-6204
Jana Marlene Ott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 203-688-0715 Fax: 475-246-9062
Stefanie Guarino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998

Danielle Provoncha, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New London, CT