Beverly J Provo, GNPC - Nurse Practitioner in Newark, NY

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Beverly J Provo, GNPC is a Nurse Practitioner - Family based in Newark, New York. Beverly J Provo is licensed to practice in New York (license number F3403661) and her current practice location is 1208 Driving Park Ave, Newark, New York. She can be reached at her office (for appointments etc.) via phone at (315) 359-2640.

NPI number for Beverly J Provo is 1215096482 and her current mailing address is 1208 Driving Park Ave, Newark, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215096482.

Contact Information

Beverly J Provo, GNPC
1208 Driving Park Ave,
Newark, NY 14513-1057
(315) 359-2640
Not Available

Map and Direction




Provider's Profile

Full NameBeverly J Provo
GenderFemale
SpecialityNurse Practitioner - Family
Location1208 Driving Park Ave, Newark, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215096482
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 01/06/2011

Medical Identifiers

Medical identifiers for Beverly J Provo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215096482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F3041711 (New York)Secondary
363LF0000XNurse Practitioner - Family F3403661 (New York)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. Beverly J Provo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Beverly J Provo, GNPC
1208 Driving Park Ave,
Newark, NY 14513-1057

Ph: (315) 359-2640		Beverly J Provo, GNPC
1208 Driving Park Ave,
Newark, NY 14513-1057

Ph: (315) 359-2640

Reviews and Comments


Nurse Practitioner Nurses in Newark, NY

Dr. Brandon Patrick Nugent, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2123    
Karen S. Roth, ANP-BC, ACHPN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2640    
Jennifer Lynn Torres,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2557    Fax: 315-462-2062
Damar Titsy-ann Mcintyre, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-332-2266    
Paula Kay Dorn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2130    Fax: 315-359-2139
Mr. Craig Alan Weise, MS, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2133    Fax: 315-359-2139

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.