Carly Provan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bradenton, FL

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Carly Provan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bradenton, Florida. Her current practice location is 8000 State Road 64 E, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 792-1404.

Carly Provan is licensed to practice in Florida (license number RN9514153) 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 1003675992.

Contact Information

Carly Provan, CRNA
8000 State Road 64 E,
Bradenton, FL 34212-7703
(941) 792-1404
Not Available

Map and Direction




Provider's Profile

Full NameCarly Provan
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location8000 State Road 64 E, Bradenton, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003675992
  • Provider Enumeration Date: 03/14/2024
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335688944
  • Enrollment ID: I20240827004297

Medical Identifiers

Medical identifiers for Carly Provan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003675992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9514153 (Florida)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. Carly Provan allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NameCapital Anesthesia Solutions Of Florida Ii, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891318481
PECOS PAC ID: 7911323720
Enrollment ID: O20200811002165

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. Carly Provan 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
Carly Provan, CRNA
12912 Usf Health Drive,
Tampa, FL 33612

Ph: () -		Carly Provan, CRNA
8000 State Road 64 E,
Bradenton, FL 34212-7703

Ph: (941) 792-1404

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bradenton, FL

Laura Ann Martin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 59th St W, Ste 5600, Bradenton, FL 34209
Phone: 941-798-3524    
Cynthia Chandler Gibson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7118 Hawks Harbor Cir, Bradenton, FL 34207
Phone: 941-350-2039    
Mr. Steven Stanley Walther, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209
Phone: 941-792-1404    Fax: 941-761-0712
Anthony Eleuterio Marchiano, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6640 Anchor Loop, Apt 108, Bradenton, FL 34212
Phone: 941-567-6926    Fax: 941-567-6926
Chasity Kentros,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 59th St W, #4650, Bradenton, FL 34209
Phone: 941-798-3524    
Kasey Allen Spivey,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 206 2nd St E, Bradenton, FL 34208
Phone: 941-524-9113    

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.