Aaron Provance, MD in Salt Lake City, UT

Aaron Provance, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Salt Lake City, Utah. His current practice location is 590 S Wakara Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-7109.

Aaron Provance is licensed to practice in Utah (license number 12804185-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710024005.

Contact Information

	Aaron Provance, MD
	590 S Wakara Way, Salt Lake City, UT 84108-7106
	(801) 587-7109
	Not Available

Map and Direction

Physician's Profile

Full Name	Aaron Provance
Gender	Male
Speciality	Pediatrics - Sports Medicine
Location	590 S Wakara Way, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710024005
Provider Enumeration Date: 01/30/2007
Last Update Date: 06/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5597890863
Enrollment ID: I20220913000692

Medical Identifiers

Medical identifiers for Aaron Provance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710024005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	DR.0044594 (Colorado)	Secondary
2080S0010X	Pediatrics - Sports Medicine	12804185-1205 (Utah)	Primary

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. Aaron Provance allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Aaron Provance 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
Aaron Provance, MD 590 S Wakara Way, Salt Lake City, UT 84108 Ph: (801) 587-7109	Aaron Provance, MD 590 S Wakara Way, Salt Lake City, UT 84108-7106 Ph: (801) 587-7109

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
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Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Aaron Provance, MD - Medicare Pediatrics in Salt Lake City, UT