Katherine Elizabeth Provaznik, DO - Medicare Psychiatry & Neurology in Wethersfield, CT

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Katherine Elizabeth Provaznik, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wethersfield, Connecticut. Her current practice location is 1260 Silas Deane Hwy Ste 101, Wethersfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-7550.

Katherine Elizabeth Provaznik is licensed to practice in Connecticut (license number 82532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376002311.

Contact Information

Katherine Elizabeth Provaznik, DO
1260 Silas Deane Hwy Ste 101,
Wethersfield, CT 06109-4363
(860) 545-7550
Not Available

Map and Direction




Physician's Profile

Full NameKatherine Elizabeth Provaznik
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1260 Silas Deane Hwy Ste 101, Wethersfield, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376002311
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 08/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860735065
  • Enrollment ID: I20240816002801

Medical Identifiers

Medical identifiers for Katherine Elizabeth Provaznik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376002311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084B0040XPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry 82532 (Connecticut)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 2974 (Wisconsin)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 82532 (Connecticut)Primary

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. Katherine Elizabeth Provaznik allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Health System-southwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684

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. Katherine Elizabeth Provaznik 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
Katherine Elizabeth Provaznik, DO
1260 Silas Deane Hwy Ste 101,
Wethersfield, CT 06109-4363

Ph: (860) 545-7550		Katherine Elizabeth Provaznik, DO
1260 Silas Deane Hwy Ste 101,
Wethersfield, CT 06109-4363

Ph: (860) 545-7550

Reviews and Comments


Psychiatry & Neurology Doctors in Wethersfield, CT

Dr. Cherish Harmony Smith, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109
Phone: 860-545-7550    Fax: 860-545-7180
Mr. Victor Tirado, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 929 Silas Deane Hwy, 2nd Floor West, Wethersfield, CT 06109
Phone: 860-372-4731    Fax: 860-372-4730
Amy Elaine Sanders, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Silas Deane Hwy, Hartford Hospital Neurology Dept, Wethersfield, CT 06109
Phone: 860-696-2820    

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.