Rachael Proveaux, in Manvel, TX - Medicare Nurse Practitioner

Rachael Proveaux, is a medicare enrolled "Nurse Practitioner - Family" in Manvel, Texas. Her current practice location is 3003 Texas Trail Ln, Manvel, Texas. You can reach out to her office (for appointments etc.) via phone at (843) 908-4438.

Rachael Proveaux is licensed to practice in Florida (license number 11021125) 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 1457001992.

Contact Information

	Rachael Proveaux,
	3003 Texas Trail Ln, Manvel, TX 77578-3263
	(843) 908-4438
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachael Proveaux
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3003 Texas Trail Ln, Manvel, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457001992
Provider Enumeration Date: 03/27/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1254789100
Enrollment ID: I20231203000014

Medical Identifiers

Medical identifiers for Rachael Proveaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457001992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11021125 (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. Rachael Proveaux allows following entities to bill medicare on her behalf.

Entity Name	Wound Technology Network, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626

Entity Name	Wt Health Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982434106 PECOS PAC ID: 5294268124 Enrollment ID: O20241030001547

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. Rachael Proveaux 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 Address	Practice Location Address
Rachael Proveaux, 8422 Tampa Point Blvd, Tampa, FL 33621-1405 Ph: (843) 908-4438	Rachael Proveaux, 3003 Texas Trail Ln, Manvel, TX 77578-3263 Ph: (843) 908-4438

Reviews and Comments

Nurse Practitioner Nurses in Manvel, TX

Adonica Beatrice Wells, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3511 W Ridge Ln, Manvel, TX 77578 Phone: 281-989-2153
Monica Mendoza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9022 Moose Trl, Manvel, TX 77578 Phone: 912-521-2966
Jianwen Dong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3618 Castle Falls Dr, Manvel, TX 77578 Phone: 832-867-4292
Swapna Mary Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3211 Hereford Cir, Manvel, TX 77578 Phone: 832-679-6266
Ashley Ann Rose, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4422 Peloton Rd, Manvel, TX 77578 Phone: 281-770-8544
Mr. Wendell Lawrence Seymour, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 County Road 94 Apt 14108, Manvel, TX 77578 Phone: 504-248-0891

Rachael Proveaux, - Medicare Nurse Practitioner in Manvel, TX