George L Provost, MD - Medicare Family Practice in Allentown, PA

George L Provost, MD is a medicare enrolled "Family Medicine" physician in Allentown, Pennsylvania. He went to Temple University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Luke's Physician Group Inc, Star Community Health Inc and his current practice location is 1210 Hanover Ave, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 437-6490.

George L Provost is licensed to practice in Pennsylvania (license number MD020842E) 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 1285620641.

Contact Information

George L Provost, MD
1210 Hanover Ave,
Allentown, PA 18109-2017
(610) 437-6490
(610) 437-4151



Physician's Profile

Full NameGeorge L Provost
GenderMale
SpecialityFamily Practice
Experience47 Years
Location1210 Hanover Ave, Allentown, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • George L Provost attended and graduated from Temple University School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1285620641
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 09/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3274567516
  • Enrollment ID: I20050926000456

Medical Identifiers

Medical identifiers for George L Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285620641NPI-NPPES
0017584420001MedicaidPA
014563OtherHIGHMARK
P002518OtherGATEWAY
0040759000OtherIBC
20011415OtherAMERIHEALTH MERCY HEALTH
01371901OtherCBC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD020842E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Hospital BethlehemBethlehem, PAHospital
Lehigh Valley HospitalAllentown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331739
Star Community Health Inc761821523732

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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. George L Provost allows following entities to bill medicare on his behalf.
Entity NameSacred Heart Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740241421
PECOS PAC ID: 4082528161
Enrollment ID: O20031113000348

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Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

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Entity NameStar Community Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033686159
PECOS PAC ID: 7618215237
Enrollment ID: O20190206002009

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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. George L Provost 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
George L Provost, MD
421 W Chew St,
Allentown, PA 18102-3406

Ph: (610) 776-5100
George L Provost, MD
1210 Hanover Ave,
Allentown, PA 18109-2017

Ph: (610) 437-6490

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Family Medicine Doctors in Allentown, PA

Dr. Xander Arwand, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103
Phone: 610-402-8900    Fax: 610-402-5656
John E Connelly, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 N 17th St, Suite # 108, Allentown, PA 18104
Phone: 610-434-4760    Fax: 610-820-9122
Dr. Ann Marie Lam, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1251 S Cedar Crest Blvd, Suite 102 A, Allentown, PA 18103
Phone: 610-402-3940    Fax: 610-102-3950
Leyland Robinson,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3435 Winchester Rd Ste 201, Allentown, PA 18104
Phone: 610-402-0100    
Dr. Joseph Thomas Termini, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 942 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-433-0404    
Madhavi Capoccia, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 Cetronia Rd, Suite 115, Allentown, PA 18104
Phone: 610-395-0307    Fax: 610-395-0950
Pavel Enrique Terreros, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1447 W Hamilton St, Allentown, PA 18102
Phone: 610-434-4445    

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