Lisa A Provance, NP - Medicare Nurse Practitioner in Morgantown, WV

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Lisa A Provance, NP is a medicare enrolled "Nurse Practitioner - Family" in Morgantown, West Virginia. Her current practice location is Po Box 897, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 285-7100.

Lisa A Provance is licensed to practice in West Virginia (license number 115829) 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 1588645378.

Contact Information

Lisa A Provance, NP
Po Box 897,
Morgantown, WV 26507-0897
(304) 285-7100
(304) 842-2333

Map and Direction




Provider's Profile

Full NameLisa A Provance
GenderFemale
SpecialityNurse Practitioner - Family
LocationPo Box 897, Morgantown, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588645378
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 06/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830158955
  • Enrollment ID: I20041005000882

Medical Identifiers

Medical identifiers for Lisa A Provance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588645378NPI-NPPES
0024165328OtherVANURSE PRACTITIONER NUMBER
115829OtherWVAPRN
014944V57OtherVAMEDICARE FOR VHPG
0001104234OtherVARN LICENSE NUMBER
010114641MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024165328 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 115829 (West Virginia)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. Lisa A Provance allows following entities to bill medicare on her behalf.
Entity NameHighland Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194784280
PECOS PAC ID: 1759285075
Enrollment ID: O20040720000790
Entity NameHospitalist Medicine Physicians Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770756991
PECOS PAC ID: 5698842235
Enrollment ID: O20081118000789
Entity NameHospitalist Medicine Physicians Of Fredericksburg, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447577572
PECOS PAC ID: 7719179407
Enrollment ID: O20101013000902
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011
Entity NameCavery Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700441326
PECOS PAC ID: 2668872201
Enrollment ID: O20210618000010

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. Lisa A Provance 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
Lisa A Provance, NP
Po Box 897,
Morgantown, WV 26507-0897

Ph: (304) 285-7100		Lisa A Provance, NP
Po Box 897,
Morgantown, WV 26507-0897

Ph: (304) 285-7100

Reviews and Comments


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Eric Allen,
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Mary E Chafin,
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Practice Location: 1 Stadium Drive, Morgantown, WV 26506
Phone: 304-598-4800    Fax: 304-293-6963

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.