Heather Lynne Provence, PMHNP - Medicare Nurse Practitioner in New Providence, NJ

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Heather Lynne Provence, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New Providence, New Jersey. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Pa and her current practice location is 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 277-8900.

Heather Lynne Provence is licensed to practice in New Jersey (license number 26NJ01289400) 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 1295221612.

Contact Information

Heather Lynne Provence, PMHNP
890 Mountain Ave, Behavioral Health & Cognitive Therapy,
New Providence, NJ 07974
(908) 277-8900
(908) 508-8919

Map and Direction




Provider's Profile

Full NameHeather Lynne Provence
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location890 Mountain Ave, New Providence, New Jersey
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:
  • Heather Lynne Provence graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1295221612
  • Provider Enumeration Date: 07/09/2018
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345585741
  • Enrollment ID: I20220812000065

Medical Identifiers

Medical identifiers for Heather Lynne Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295221612NPI-NPPES
05265370MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F402394-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01289400 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761147

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. Heather Lynne Provence allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Heather Lynne Provence 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
Heather Lynne Provence, PMHNP
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Heather Lynne Provence, PMHNP
890 Mountain Ave, Behavioral Health & Cognitive Therapy,
New Providence, NJ 07974

Ph: (908) 277-8900

Reviews and Comments


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Rodah W Kimani, APN
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Avital Moskowitz,
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Susan A Angelicola, MSN, RNC
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Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8799    Fax: 908-608-2376
Sandra Gomez, APN
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Medicare: Not Enrolled in Medicare
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Phone: 973-339-7021    Fax: 973-370-3355
Brienna Benaquista, PMHNP
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Practice Location: 54 Salem Rd, New Providence, NJ 07974
Phone: 973-650-6422    

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.

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