Dr Leigh Mae Provencher, MD in Appleton, WI - Medicare Critical Care (intensivists)

Dr Leigh Mae Provencher, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Appleton, Wisconsin. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Thedacare, Incorporated and her current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 735-7645.

Dr Leigh Mae Provencher is licensed to practice in Wisconsin (license number 83019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063949741.

Contact Information

	Dr Leigh Mae Provencher, MD
	1818 N Meade St, Appleton, WI 54911-3454
	(920) 735-7645
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leigh Mae Provencher
Gender	Female
Speciality	Critical Care (intensivists)
Experience	9 Years
Location	1818 N Meade St, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leigh Mae Provencher graduated from medical school in 2017

NPI Data:

NPI Number: 1063949741
Provider Enumeration Date: 05/12/2017
Last Update Date: 05/22/2026

Medicare PECOS Information:

PECOS PAC ID: 1759708886
Enrollment ID: I20240530000316

Medical Identifiers

Medical identifiers for Dr Leigh Mae Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063949741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	83019-20 (Wisconsin)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	83019 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare At Home	Appleton, WI	Hospice
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Medical Center - Shawano	Shawano, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare, Incorporated	1759294887	659

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 Leigh Mae Provencher allows following entities to bill medicare on her behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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 Leigh Mae Provencher 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 Leigh Mae Provencher, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 735-7645	Dr Leigh Mae Provencher, MD 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 735-7645

Reviews and Comments

Internal Medicine Doctors in Appleton, WI

Dirk Steinert, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037
Mrs. Shannon Leah Schmidt, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-364-3600 Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911 Phone: 920-734-4773
Gail Mary Mcnutt, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7936
Dong Bo Yu, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414
Deborah A Ihde, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293

Dr Leigh Mae Provencher, MD - Medicare Critical Care (intensivists) in Appleton, WI