Jerome A Provenzano, MD - Medicare Family Practice in Newport News, VA

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Jerome A Provenzano, MD is a medicare enrolled "Family Medicine" physician in Newport News, Virginia. He went to Georgetown University School Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, James River Family Practice Llc, Select Rehabilitation Llc and his current practice location is 12655 Warwick Blvd, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 595-9880.

Jerome A Provenzano is licensed to practice in Virginia (license number 0101048791) 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 1891760039.

Contact Information

Jerome A Provenzano, MD
12655 Warwick Blvd,
Newport News, VA 23606-2501
(757) 595-9880
(757) 595-0362

Map and Direction




Physician's Profile

Full NameJerome A Provenzano
GenderMale
SpecialityFamily Practice
Experience36 Years
Location12655 Warwick Blvd, Newport News, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerome A Provenzano attended and graduated from Georgetown University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1891760039
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 02/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971515388
  • Enrollment ID: I20060630000109

Medical Identifiers

Medical identifiers for Jerome A Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891760039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101048791 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
At Home CareWilliamsburg, VAHome health agency
Hospice Community Care, LlcGlen allen, VAHospice
Riverside Regional Medical CenterNewport news, VAHospital
Sentara Careplex HospitalHampton, VAHospital
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital
Riverside Walter Reed HospitalGloucester, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223474
James River Family Practice Llc61039776163
Select Rehabilitation Llc90320204901538

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. Jerome A Provenzano allows following entities to bill medicare on his behalf.
Entity NameJames River Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427290352
PECOS PAC ID: 6103977616
Enrollment ID: O20090623000644

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. Jerome A 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 AddressPractice Location Address
Jerome A Provenzano, MD
860 Omni Blvd Ste 101,
Newport News, VA 23606-4430

Ph: (757) 232-8769		Jerome A Provenzano, MD
12655 Warwick Blvd,
Newport News, VA 23606-2501

Ph: (757) 595-9880

Reviews and Comments


Family Medicine Doctors in Newport News, VA

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Neama Komishani Setambar I, DO
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Dr. Jeffrey Harris, D.O.
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Dr. Toti Palma Gonzalo, M.D.
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Phone: 757-872-6620    Fax: 757-877-5450

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.