Michael S Provenghi, MD - Medicare Family Practice in Anaheim, CA

Michael S Provenghi, MD is a medicare enrolled "Family Medicine" physician in Anaheim, California. He went to New York Medical College and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 441 N Lakeview Ave, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (888) 988-2800.

Michael S Provenghi is licensed to practice in California (license number A86795) 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 1265503239.

Contact Information

Michael S Provenghi, MD
441 N Lakeview Ave,
Anaheim, CA 92807-3028
(888) 988-2800
Not Available



Physician's Profile

Full NameMichael S Provenghi
GenderMale
SpecialityFamily Practice
Experience22 Years
Location441 N Lakeview Ave, Anaheim, California
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:
  • Michael S Provenghi attended and graduated from New York Medical College in 2002
  NPI Data:
  • NPI Number: 1265503239
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042242471
  • Enrollment ID: I20050907000555

Medical Identifiers

Medical identifiers for Michael S Provenghi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265503239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A86795 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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. Michael S Provenghi allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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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. Michael S Provenghi 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
Michael S Provenghi, MD
441 N Lakeview Ave,
Anaheim, CA 92807-3028

Ph: (888) 988-2800
Michael S Provenghi, MD
441 N Lakeview Ave,
Anaheim, CA 92807-3028

Ph: (888) 988-2800

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Family Medicine Doctors in Anaheim, CA

Dino A. Imperial, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Lance C. Brunner, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Marites Mcmurtrey, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Steven Chao,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804
Phone: 714-995-5471    Fax: 714-995-5815
Edmond K Chu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804
Phone: 714-952-0203    Fax: 714-952-1387
Warren U. Wong, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Jeff D. Tracy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

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