Kacey Helena Provenzano, MD in Richland, WA

Kacey Helena Provenzano, MD is a medicare enrolled "Urology" physician in Richland, Washington. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2013 and has 12 years of diverse experience with area of expertise as Urology. She is a member of the group practice Kadlec Regional Medical Center and her current practice location is 780 Swift Blvd Ste 201, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 942-3288.

Kacey Helena Provenzano is licensed to practice in Washington (license number MD60964556) 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 1740523158.

Contact Information

	Kacey Helena Provenzano, MD
	780 Swift Blvd Ste 201, Richland, WA 99352
	(509) 942-3288
	(509) 942-3167

Map and Direction

Physician's Profile

Full Name	Kacey Helena Provenzano
Gender	Female
Speciality	Urology
Experience	12 Years
Location	780 Swift Blvd Ste 201, Richland, Washington
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:

Kacey Helena Provenzano attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2013

NPI Data:

NPI Number: 1740523158
Provider Enumeration Date: 04/03/2013
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0840416707
Enrollment ID: I20191010002227

Medical Identifiers

Medical identifiers for Kacey Helena Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740523158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	264720 (Massachusetts)	Secondary
208800000X	Urology	MD60964556 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kadlec Regional Medical Center	Richland, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kadlec Regional Medical Center	9739098617	375

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. Kacey Helena Provenzano allows following entities to bill medicare on her behalf.

Entity Name	Kadlec Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035

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. Kacey Helena 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 Address	Practice Location Address
Kacey Helena Provenzano, MD 550 Gage Blvd Ste 101, Richland, WA 99352-9532 Ph: (509) 942-3288	Kacey Helena Provenzano, MD 780 Swift Blvd Ste 201, Richland, WA 99352 Ph: (509) 942-3288

Reviews and Comments

Urology Doctors in Richland, WA

David D Vance, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: 948 Stevens Dr Ste A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547
Fred M Foss, M.D. Urology Medicare: Medicare Enrolled Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547
Naeem T Chavla, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 948 Stevens Dr, Suite A, Richland, WA 99352 Phone: 509-946-5150 Fax: 509-946-6547
Dr. Patrick W Gavin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1100 Goethals Drive, Suite D Kadlec Clinic Urology, Richland, WA 99352 Phone: 509-942-3165 Fax: 509-942-3167
Julio Slongo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 780 Swift Blvd Ste 201, Richland, WA 99352 Phone: 509-942-3070 Fax: 509-942-3167

Kacey Helena Provenzano, MD - Medicare Urology in Richland, WA