| Christina Gail Provenza, MD | |
|
2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | |
| (413) 794-7020 | |
| (413) 794-2670 |
| Full Name | Christina Gail Provenza |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 2 Medical Center Dr Ste 308, Springfield, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841796596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1016403 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Gail Provenza, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Christina Gail Provenza, MD 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 Ph: (413) 794-7020 |
Holly S Mason, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Springfield, MA 01107 Phone: 413-794-5265 Fax: 413-794-1794 | |
Dr. Karlbuto Alexandre, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 309, Springfield, MA 01107 Phone: 413-794-8020 Fax: 413-794-2165 | |
David W Page, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 308, Springfield, MA 01107 Phone: 413-794-7020 Fax: 413-794-2670 | |
Jacqueline J Wu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr, Ste 308, Springfield, MA 01107 Phone: 413-794-7020 Fax: 413-794-2670 | |
Dr. Sang W Rhee, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3500 Main St, Suite 201, Springfield, MA 01107 Phone: 413-794-0900 Fax: 413-794-2996 | |
Dr. Jacques Townsend, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Dr Ste 309, Springfield, MA 01107 Phone: 413-794-8020 Fax: 413-794-2165 | |
Frederique Pinto, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Center Drive, Ste 301, Springfield, MA 01107 Phone: 413-794-8020 Fax: 413-794-2165 |