Christopher Robert Provenzano, MD in Shelby Township, MI

Christopher Robert Provenzano, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Shelby Township, Michigan. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice St Clair Specialty Physicians Pc and his current practice location is 45650 Schoenherr Rd, Shelby Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 286-7800.

Christopher Robert Provenzano is licensed to practice in Michigan (license number 4301082092) 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 1982876157.

Contact Information

	Christopher Robert Provenzano, MD
	45650 Schoenherr Rd, Shelby Township, MI 48315-6033
	(586) 286-7800
	(586) 286-7804

Map and Direction

Physician's Profile

Full Name	Christopher Robert Provenzano
Gender	Male
Speciality	Nephrology
Experience	21 Years
Location	45650 Schoenherr Rd, Shelby Township, Michigan
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:

Christopher Robert Provenzano graduated from medical school in 2003

NPI Data:

NPI Number: 1982876157
Provider Enumeration Date: 03/28/2008
Last Update Date: 10/27/2015

Medicare PECOS Information:

PECOS PAC ID: 8628140050
Enrollment ID: I20080630000713

Medical Identifiers

Medical identifiers for Christopher Robert Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982876157	NPI	-	NPPES
CP4301082092	Other	MI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	4301082092 (Michigan)	Primary
207RH0005X	Internal Medicine - Hypertension Specialist	4301082092 (Michigan)	Secondary
207RN0300X	Internal Medicine - Nephrology	49048 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shoshone Dialysis Llc	Chesterfield, MI	Dialysis facility
Clinton Township Dialysis Of Davita	Clinton township, MI	Dialysis facility
Cornerstone Dialysis Of Davita	Southfield, MI	Dialysis facility
Mclaren Macomb	Mount clemens, MI	Hospital
Mclaren Northern Michigan	Petoskey, MI	Hospital
Henry Ford Macomb Hospital	Clinton township, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital
Ascension St John Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Clair Specialty Physicians Pc	6204733256	36

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. Christopher Robert Provenzano allows following entities to bill medicare on his behalf.

Entity Name	St Clair Specialty Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154361616 PECOS PAC ID: 6204733256 Enrollment ID: O20040310000808

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. Christopher Robert Provenzano 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
Christopher Robert Provenzano, MD 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033 Ph: (586) 247-4300	Christopher Robert Provenzano, MD 45650 Schoenherr Rd, Shelby Township, MI 48315-6033 Ph: (586) 286-7800

Reviews and Comments

Internal Medicine Doctors in Shelby Township, MI

Dr. Julia Tesch, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 526-731-8406
Sima Salahie, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406
Luay Sayed, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 49050 Schoenherr Rd Ste 100, Shelby Township, MI 48315 Phone: 586-566-7870 Fax: 586-566-7850
Paul K Fozo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315 Phone: 586-731-8400 Fax: 586-731-8406
Bryan G Barnosky, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 290, Shelby Township, MI 48315 Phone: 586-314-0080 Fax: 586-731-6257
Saurabh Gandhi, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315 Phone: 586-247-4300 Fax: 586-532-6496
Dr. Steven M Taormina, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd, Suite 300, Shelby Township, MI 48315 Phone: 586-726-5566 Fax: 586-726-8085

Christopher Robert Provenzano, MD - Medicare Nephrology in Shelby Township, MI