Jessica Provo, MD is a medicare enrolled "Family Medicine" physician in Sandwich, Massachusetts. Her current practice location is
90 Route 6a Unit 5a, Sandwich, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 477-7090.
Jessica Provo is licensed to practice in North Carolina (license number 2019-00724) 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 1699121368.
Physician's Profile
Full Name | Jessica Provo |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 90 Route 6a Unit 5a, Sandwich, Massachusetts |
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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:
- Jessica Provo attended and graduated from in
NPI Data:
- NPI Number: 1699121368
- Provider Enumeration Date: 05/11/2016
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jessica Provo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699121368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2019-00724 (North Carolina) | Primary |
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. Jessica Provo 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 |
Jessica Provo, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Jessica Provo, MD 90 Route 6a Unit 5a, Sandwich, MA 02563-5301 Ph: (508) 477-7090 |
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