Margaret Provenza, - Medicare Otolaryngology in Rockford, IL

Margaret Provenza, is a medicare enrolled "Otolaryngology" physician in Rockford, Illinois. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Swedishamerican Hospital and her current practice location is 1253 N Alpine Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (779) 696-9201.

Margaret Provenza is licensed to practice in Illinois (license number 036072887) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457378283.

Contact Information

Margaret Provenza,
1253 N Alpine Rd,
Rockford, IL 61107
(779) 696-9201
Not Available



Physician's Profile

Full NameMargaret Provenza
GenderFemale
SpecialityOtolaryngology
Experience40 Years
Location1253 N Alpine Rd, Rockford, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Margaret Provenza graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1457378283
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 02/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052451341
  • Enrollment ID: I20091217000318

Medical Identifiers

Medical identifiers for Margaret Provenza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457378283NPI-NPPES
036072887MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036072887 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedishamerican Hospital5799698346273

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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. Margaret Provenza allows following entities to bill medicare on her behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012

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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. Margaret Provenza 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
Margaret Provenza,
Po Box 78866,
Milwaukee, WI 53278-8866

Ph: (779) 696-7150
Margaret Provenza,
1253 N Alpine Rd,
Rockford, IL 61107

Ph: (779) 696-9201

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Otolaryngology Doctors in Rockford, IL

Simon A Holoubek, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Charles St Ste 100&405, Rockford, IL 61104
Phone: 779-696-8700    
Dr. Terrence R Loughlin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 698 Featherstone Rd, Rockford, IL 61107
Phone: 815-398-3277    
Adam Soliman, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Perryville Rd, Rockford, IL 61114
Phone: 815-971-2000    
Dr. Ronald V. Washak, D.O.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103
Phone: 815-971-2000    Fax: 815-971-9924
Mark L. Lundine,
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1253 N Alpine Rd, Rockford, IL 61107
Phone: 779-696-9201    
Jonathan L. Ferguson, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 698 Featherstone Rd, Rockford, IL 61107
Phone: 815-398-3277    Fax: 815-484-7001

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