Augie N Provencio, in Livingston, CA

Augie N Provencio, is a medicare enrolled "Family Medicine" physician in Livingston, California. His current practice location is 600 B St Bldg A-c, Livingston, California. You can reach out to his office (for appointments etc.) via phone at (209) 850-3500.

Augie N Provencio is licensed to practice in California (license number A48099) 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 1467590158.

Contact Information

	Augie N Provencio,
	600 B St Bldg A-c, Livingston, CA 95334-9593
	(209) 850-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Augie N Provencio
Gender	Male
Speciality
Experience	Years
Location	600 B St Bldg A-c, Livingston, California
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:

Augie N Provencio attended and graduated from in

NPI Data:

NPI Number: 1467590158
Provider Enumeration Date: 02/02/2007
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Augie N Provencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467590158	NPI	-	NPPES
00A480990	Medicaid	CA
539497	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	36333 (Arizona)	Secondary
207Q00000X	Family Medicine	3673 (Alaska)	Secondary
207Q00000X	Family Medicine	A48099 (California)	Primary

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. Augie N Provencio 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
Augie N Provencio, 600 B St Bldg A-c, Livingston, CA 95334-9593 Ph: (209) 850-3500	Augie N Provencio, 600 B St Bldg A-c, Livingston, CA 95334-9593 Ph: (209) 850-3500

Reviews and Comments

Family Medicine Doctors in Livingston, CA

Dr. Afnan Aisha Qadeer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660
Mr. Ganesan Venkatapathy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-1362 Fax: 209-394-1369
Karen Marie Romero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3021
Glen Villanueva, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 B St, Livingston, CA 95334 Phone: 209-850-3500 Fax: 209-850-3499

Augie N Provencio, - Medicare in Livingston, CA