Margaret Provenza, - Medicare Otolaryngology in Rockford, IL

Margaret Provenza, is a medicare enrolled "Otolaryngology" physician in Rockford, Illinois. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Swedishamerican Hospital and her current practice location is 1253 N Alpine Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (779) 696-9201.

Margaret Provenza is licensed to practice in Illinois (license number 036072887) 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 1457378283.

Contact Information

Margaret Provenza,
1253 N Alpine Rd,
Rockford, IL 61107
(779) 696-9201
Not Available

Map and Direction




Physician's Profile

Full NameMargaret Provenza
GenderFemale
SpecialityOtolaryngology
Experience40 Years
Location1253 N Alpine Rd, Rockford, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Margaret Provenza graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1457378283
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 02/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052451341
  • Enrollment ID: I20091217000318

Medical Identifiers

Medical identifiers for Margaret Provenza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457378283NPI-NPPES
036072887MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036072887 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedishamerican Hospital5799698346273

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. Margaret Provenza allows following entities to bill medicare on her behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012

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. Margaret Provenza 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
Margaret Provenza,
Po Box 78866,
Milwaukee, WI 53278-8866

Ph: (779) 696-7150
Margaret Provenza,
1253 N Alpine Rd,
Rockford, IL 61107

Ph: (779) 696-9201

Reviews and Comments


Otolaryngology Doctors in Rockford, IL

Simon A Holoubek, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Charles St Ste 100&405, Rockford, IL 61104
Phone: 779-696-8700    
Dr. Terrence R Loughlin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 698 Featherstone Rd, Rockford, IL 61107
Phone: 815-398-3277    
Adam Soliman, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Perryville Rd, Rockford, IL 61114
Phone: 815-971-2000    
Dr. Ronald V. Washak, D.O.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103
Phone: 815-971-2000    Fax: 815-971-9924
Mark L. Lundine,
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1253 N Alpine Rd, Rockford, IL 61107
Phone: 779-696-9201    
Jonathan L. Ferguson, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 698 Featherstone Rd, Rockford, IL 61107
Phone: 815-398-3277    Fax: 815-484-7001

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.