Mark A Provenzano Od - Medicare Optometrist in Lake Jackson, TX

Mark A Provenzano Od is a medicare enrolled "Optometrist" provider in Lake Jackson, Texas. Their current practice location is 123 Circle Way, Lake Jackson, Texas. You can reach out to their office (for appointments etc.) via phone at (979) 299-3250.

Mark A Provenzano Od is licensed to practice in Texas (license number 3979TG) and it also participates in the medicare program. Mark A Provenzano Od is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073607370.

Contact Information

Mark A Provenzano Od
123 Circle Way,
Lake Jackson, TX 77566-5233
(979) 299-3250
(979) 299-1724

Map and Direction




Healthcare Provider's Profile

Full NameMark A Provenzano Od
TypeFacility
SpecialityOptometrist
Location123 Circle Way, Lake Jackson, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073607370
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 12/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6800973025
  • Enrollment ID: O20080411000168

Medical Identifiers

Medical identifiers for Mark A Provenzano Od such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073607370NPI-NPPES
0195042MedicaidTX
80775QOtherTXBCBS OF TX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3979TG (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mark A Provenzano Od acts as a billing entity for following providers:
Provider NameMark A Provenzano
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942486428
PECOS PAC ID: 8224198916
Enrollment ID: I20081126000099

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. Mark A Provenzano Od 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
Mark A Provenzano Od
123 Circle Way,
Lake Jackson, TX 77566-5233

Ph: (979) 299-3250
Mark A Provenzano Od
123 Circle Way,
Lake Jackson, TX 77566-5233

Ph: (979) 299-3250

Reviews and Comments


Optometrist in Lake Jackson, TX

Dr. Julie Nguyen
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 121 Highway 332 W, Suite 100, Lake Jackson, TX 77566
Phone: 979-480-9424    Fax: 979-480-9426
The Eye Contact, Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4 W Way Ct, Lake Jackson, TX 77566
Phone: 979-297-3937    Fax: 979-297-9889
Dr. Julie Thuydung Nguyen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 121 Highway 332 W, 100, Lake Jackson, TX 77566
Phone: 979-480-9424    Fax: 979-480-9426
Robert G. Haws, O.d. P.a.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 126 Oyster Creek Dr Ste A, Lake Jackson, TX 77566
Phone: 979-299-0100    Fax: 979-299-6181
Dr. William Jackson Jr., O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4 West Way Court, Lake Jackson, TX 77566
Phone: 979-297-3937    Fax: 979-297-9889
Texas State Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 120 Highway 332 W, Suite A5, Lake Jackson, TX 77566
Phone: 979-297-3095    Fax: 979-297-5410

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.