Dr Krystin Jade Provo, DC in Ottawa, KS - Medicare Provider

Dr Krystin Jade Provo, DC is a medicare enrolled "Chiropractor" provider in Ottawa, Kansas. His current practice location is 112 E 17th St, Ottawa, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 242-9393.

Dr Krystin Jade Provo is licensed to practice in Kansas (license number 01-05533) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598100448.

Contact Information

	Dr Krystin Jade Provo, DC
	112 E 17th St, Ottawa, KS 66067-3800
	(785) 242-9393
	(913) 538-2289

Healthcare Provider's Profile

Full Name	Dr Krystin Jade Provo
Gender	Male
Speciality
Experience	Years
Location	112 E 17th St, Ottawa, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Krystin Jade Provo attended and graduated from in

NPI Data:

NPI Number: 1598100448
Provider Enumeration Date: 05/06/2013
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Krystin Jade Provo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598100448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	01-05533 (Kansas)	Primary

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. Dr Krystin Jade Provo 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
Dr Krystin Jade Provo, DC 112 E 17th St, Ottawa, KS 66067-3800 Ph: (785) 242-9393	Dr Krystin Jade Provo, DC 112 E 17th St, Ottawa, KS 66067-3800 Ph: (785) 242-9393

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Chiropractor in Ottawa, KS

Adam L Maxwell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 225 S Walnut St, Suite 100, Ottawa, KS 66067 Phone: 785-893-8272
Cheri L Jung, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1501 S Main St, Ottawa, KS 66067 Phone: 785-242-4100 Fax: 785-242-4121
Dr. Kevin Joseph Cook, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 E 17th St, Ottawa, KS 66067 Phone: 913-731-0287
Dr. Chad James Welter, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 E 17th St, Ottawa, KS 66067 Phone: 785-242-9393 Fax: 785-242-9394
Dr. Deborah Grace Brockway Brown, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 121 W 3rd St, Ottawa, KS 66067 Phone: 785-242-2386
Franklin County Chiropractic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 112 E 17th St, Ottawa, KS 66067 Phone: 785-242-9393 Fax: 785-242-9394
Weston E Zenner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 112 E 17th St, Ottawa, KS 66067 Phone: 785-242-9393 Fax: 785-242-9394

Dr Krystin Jade Provo, DC - Medicare Chiropractor in Ottawa, KS