Dr Anastas C Provatas, MD in Alexandria, MN - Medicare Hematology/oncology

Dr Anastas C Provatas, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Alexandria, Minnesota. He went to University Of Connecticut School Of Medicine and graduated in 1985 and has 41 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Douglas County Hospital and his current practice location is 111 17th Ave E, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 763-2707.

Dr Anastas C Provatas is licensed to practice in Minnesota (license number 105335) 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 1497740054.

Contact Information

	Dr Anastas C Provatas, MD
	111 17th Ave E, Alexandria, MN 56308-5273
	(320) 763-2707
	(320) 763-7883

Map and Direction

Physician's Profile

Full Name	Dr Anastas C Provatas
Gender	Male
Speciality	Hematology/oncology
Experience	41 Years
Location	111 17th Ave E, Alexandria, Minnesota
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:

Dr Anastas C Provatas attended and graduated from University Of Connecticut School Of Medicine in 1985

NPI Data:

NPI Number: 1497740054
Provider Enumeration Date: 09/20/2005
Last Update Date: 10/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6103988563
Enrollment ID: I20110428000627

Medical Identifiers

Medical identifiers for Dr Anastas C Provatas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497740054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	105335 (Minnesota)	Primary
207RH0003X	Internal Medicine - Hematology & Oncology	9500693 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital
Alomere Health	Alexandria, MN	Hospital
University Medical Center-mesabi/ Mesaba Clinics	Hibbing, MN	Hospital
Bigfork Valley Hospital	Bigfork, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas County Hospital	0648171413	110

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. Dr Anastas C Provatas allows following entities to bill medicare on his behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

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. Dr Anastas C Provatas 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
Dr Anastas C Provatas, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123	Dr Anastas C Provatas, MD 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 763-2707

Reviews and Comments

Internal Medicine Doctors in Alexandria, MN

Jessica M Butanis, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Alison F Chinn, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-763-5123
Andrea M Boe, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-759-2640 Fax: 320-759-2023
Dr. Jayme Michael Danielson, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511
Dr. Skyler Holte Dahlseng, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-2540 Fax: 320-763-7883
Jeffrey R Olive, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 610 30th Ave West, Alexandria Clinic, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883

Dr Anastas C Provatas, MD - Medicare Hematology/oncology in Alexandria, MN