Alexander Anton Provost, DC in Shawano, WI - Medicare Chiropractic Provider

Alexander Anton Provost, DC is a medicare enrolled "Chiropractor" provider in Shawano, Wisconsin. He went to Northwestern College Of Chiropractic and graduated in 2019 and has 5 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Countryview Chiropractic Clinic Sc and his current practice location is W5675 County Road B, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 526-6158.

Alexander Anton Provost is licensed to practice in Wisconsin (license number 5599-12) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306434337.

Contact Information

	Alexander Anton Provost, DC
	W5675 County Road B, Shawano, WI 54166-6901
	(715) 526-6158
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexander Anton Provost
Gender	Male
Speciality	Chiropractic
Experience	5 Years
Location	W5675 County Road B, Shawano, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alexander Anton Provost attended and graduated from Northwestern College Of Chiropractic in 2019

NPI Data:

NPI Number: 1306434337
Provider Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021

Medicare PECOS Information:

PECOS PAC ID: 7113331927
Enrollment ID: I20210205000686

Medical Identifiers

Medical identifiers for Alexander Anton Provost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306434337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	6646 (Minnesota)	Secondary
111N00000X	Chiropractor	5599-12 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Countryview Chiropractic Clinic Sc	7810088333	5

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. Alexander Anton Provost allows following entities to bill medicare on his behalf.

Provider Name	Countryview Chiropractic Clinic Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316095185 PECOS PAC ID: 7810088333 Enrollment ID: O20070813000052

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. Alexander Anton Provost 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
Alexander Anton Provost, DC 8732 Polk St Ne, Blaine, MN 55434-2346 Ph: (763) 439-6576	Alexander Anton Provost, DC W5675 County Road B, Shawano, WI 54166-6901 Ph: (715) 526-6158

Reviews and Comments

Chiropractor in Shawano, WI

Dr. Tyler Pensis, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: W5675 Cty Hwy B, Shawano, WI 54166 Phone: 715-526-6158
Dr. Michael E Brosnan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 322 E Green Bay St, Shawano, WI 54166 Phone: 715-526-5019
Dr. Aeric Berner, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 153 S Main St, Shawano, WI 54166 Phone: 715-201-1081 Fax: 715-350-6767
Countryview Chiropractic Clinic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: W5675 Cty Hwy B, Shawano, WI 54166 Phone: 715-526-6158 Fax: 715-526-6178
Verkuilen Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 154 Woodlawn Dr, Shawano, WI 54166 Phone: 715-524-6720 Fax: 715-524-5581
Brosnan Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 322 E Green Bay St, Shawano, WI 54166 Phone: 715-526-5019 Fax: 715-524-9977

Alexander Anton Provost, DC - Medicare Chiropractor in Shawano, WI