Dr Jason D Provus, MD in Jackson, WY - Medicare Orthopedic Surgery

Dr Jason D Provus, MD is a medicare enrolled "Orthopaedic Surgery" physician in Jackson, Wyoming. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Permanente Medical Group Inc, Teton County Hospital District and his current practice location is 555 E Broadway Ave Ste 129, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 733-3900.

Dr Jason D Provus is licensed to practice in Wyoming (license number 16633A) 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 1972821320.

Contact Information

	Dr Jason D Provus, MD
	555 E Broadway Ave Ste 129, Jackson, WY 83001-8640
	(307) 733-3900
	(307) 739-7683

Map and Direction

Physician's Profile

Full Name	Dr Jason D Provus
Gender	Male
Speciality	Orthopedic Surgery
Experience	19 Years
Location	555 E Broadway Ave Ste 129, Jackson, Wyoming
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 Jason D Provus attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2005

NPI Data:

NPI Number: 1972821320
Provider Enumeration Date: 05/10/2010
Last Update Date: 03/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9537351960
Enrollment ID: I20120120000038

Medical Identifiers

Medical identifiers for Dr Jason D Provus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972821320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	16633A (Wyoming)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Vacaville	Vacaville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800
Teton County Hospital District	4880582295	109

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 Jason D Provus allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Jason D Provus 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 Jason D Provus, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-3900	Dr Jason D Provus, MD 555 E Broadway Ave Ste 129, Jackson, WY 83001-8640 Ph: (307) 733-3900

Reviews and Comments

Orthopaedic Surgery Doctors in Jackson, WY

Mary C Neal, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 945 W Broadway, Jackson, WY 83001 Phone: 307-734-5999 Fax: 307-734-0345
Dr. Blane A Woodfin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Dr. James R Champa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Joshua D. Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Dr. Peter E Rork, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Dr. William Lighthart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Christopher Clayton Hills, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925

Dr Jason D Provus, MD - Medicare Orthopedic Surgery in Jackson, WY