| Kathryn Provonche, PA | |
|
4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | |
| (302) 623-0188 | |
| Not Available |
| Full Name | Kathryn Provonche |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 4755 Ogletown Stanton Rd Ste 5a43, Newark, Delaware |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790236644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christianacare | Newark, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infectious Disease Associates Pa | 1052337201 | 12 |
| Infectious Disease Consultants Pa | 4183615081 | 9 |
| Entity Name | Infectious Disease Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205904679 PECOS PAC ID: 1052337201 Enrollment ID: O20051018000499 |
| Entity Name | Christiana Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245474329 PECOS PAC ID: 9739097569 Enrollment ID: O20091027000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Provonche, PA 200 Hygeia Dr Ste 2300, Newark, DE 19713-2049 Ph: Not Available | Kathryn Provonche, PA 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 Ph: (302) 623-0188 |
Alicia Renee Edelblute, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 610-406-7662 |
Gabriella Lynn Zaccone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd, Newark, DE 19713 Phone: 302-744-9645 |
Michaela T. Riordan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718 Phone: 302-733-3475 Fax: 302-325-3496 |
Mrs. Cristina L. Bonilla-cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Hygeia Dr, Newark, DE 19713 Phone: 302-273-1701 Fax: 302-273-4497 |
Mr. John Patrick Ranonis Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown Stanton Rd, Map Ii, Ste 2121, Newark, DE 19713 Phone: 302-733-4500 |
Leia Lavoie Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713 Phone: 302-623-4055 |
Christine M. Koenigbauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Micu, 3rd Floor, Rm 3e46, Newark, DE 19718 Phone: 302-733-3475 |