Dr Paul Thomas Provance, MD in Mountain Home, TN

Dr Paul Thomas Provance, MD is a medicare enrolled "Internal Medicine" physician in Mountain Home, Tennessee. He went to Wright State University Boonshoft School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Holston Medical Group Pc, Dominion Health And Fitness, Inc, Holston Medical Group Pc and his current practice location is James H Quillen Va Medical Center, Mountain Home, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 926-1171.

Dr Paul Thomas Provance is licensed to practice in Tennessee (license number MD41434) 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 1760429740.

Contact Information

	Dr Paul Thomas Provance, MD
	James H Quillen Va Medical Center, Mountain Home, TN 37684-4000
	(423) 926-1171
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Paul Thomas Provance
Gender	Male
Speciality	Internal Medicine
Experience	22 Years
Location	James H Quillen Va Medical Center, Mountain Home, Tennessee
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 Paul Thomas Provance attended and graduated from Wright State University Boonshoft School Of Medicine in 2002

NPI Data:

NPI Number: 1760429740
Provider Enumeration Date: 05/31/2006
Last Update Date: 11/08/2010

Medicare PECOS Information:

PECOS PAC ID: 9133155153
Enrollment ID: I20061208000247

Medical Identifiers

Medical identifiers for Dr Paul Thomas Provance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760429740	NPI	-	NPPES
3825653	Medicaid	TN
2571293	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35.086268 (Ohio)	Secondary
207R00000X	Internal Medicine	MD41434 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	221
Dominion Health And Fitness, Inc	3274570908	18
Holston Medical Group Pc	8224935754	221

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 Paul Thomas Provance allows following entities to bill medicare on his behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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 Paul Thomas Provance 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 Paul Thomas Provance, MD Po Box 4000, Mountain Home, TN 37684-4000 Ph: (423) 926-1171	Dr Paul Thomas Provance, MD James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 Ph: (423) 926-1171

Reviews and Comments

Internal Medicine Doctors in Mountain Home, TN

Thomas Michael Roy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Sidney And Lamont, 111-b, Mountain Home, TN 37614 Phone: 423-926-1171
Dr. William Dralle, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Lamont And Sidney Streets, Mountain Home, TN 37684 Phone: 423-926-1171
Dr. Angela Earlene May, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: Lamont Street, Mountain Home, TN 37684 Phone: 423-926-1171
Dr. Joe Harold May, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: Va Medical Center, Building 69 Medical Service 111, Mountain Home, TN 37684 Phone: 423-926-1171
Dr. Vinodini Krishnan, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: James H Quillen Vamc, Sydney&lamont Street, Mountain Home, TN 37684 Phone: 423-926-1171
Dr. Gary Edward Bush, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Va Medical Center, Mountain Home, Sidney And Lamont St, Mountain Home, TN 37684 Phone: 423-926-1171 Fax: 423-979-2829
Dr. Judith Ellen Reid, MD MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: James H. Quillen Va Medical Center, Corner Of Lamont & Veterans Way, Mountain Home, TN 37684 Phone: 423-926-1171 Fax: 423-979-3476

Dr Paul Thomas Provance, MD - Medicare Internal Medicine in Mountain Home, TN