Jessica Provo, MD in Sandwich, MA - Medicare Family Practice

Jessica Provo, MD is a medicare enrolled "Family Medicine" physician in Sandwich, Massachusetts. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Community Health Center Of Cape Cod, Inc. and 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.

Contact Information

	Jessica Provo, MD
	90 Route 6a Unit 5a, Sandwich, MA 02563-5301
	(508) 477-7090
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Provo
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	90 Route 6a Unit 5a, Sandwich, Massachusetts
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 graduated from medical school in 2015

NPI Data:

NPI Number: 1699121368
Provider Enumeration Date: 05/11/2016
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8123312931
Enrollment ID: I20241227002117

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cape Cod Hospital	Hyannis, MA	Hospital
Novant Health New Hanover Regional Medical Center	Wilmington, NC	Hospital
Falmouth Hospital	Falmouth, MA	Hospital
Spaulding Rehabilitation Hospital - Cape Cod	East sandwich, MA	Inpatient rehabilitation facility

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Center Of Cape Cod, Inc.	4486699568	40

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. Jessica Provo allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center of Cape Cod, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821193145 PECOS PAC ID: 4486699568 Enrollment ID: O20050621000256

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: Not Available	Jessica Provo, MD 90 Route 6a Unit 5a, Sandwich, MA 02563-5301 Ph: (508) 477-7090

Reviews and Comments

Family Medicine Doctors in Sandwich, MA

William C Bowers, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2 Jan Sebastian Way, Sandwich, MA 02563
Phone: 508-888-0770 Fax: 508-833-0877

Jessica Provo, MD - Medicare Family Practice in Sandwich, MA