Dr Alyssa J Provagna, MD in Fort Leonard Wood, MO - Medicare Obstetrics & Gynecology

Dr Alyssa J Provagna, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Leonard Wood, Missouri. Her current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 596-1770.

Dr Alyssa J Provagna is licensed to practice in Virginia (license number 0101270674) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578024527.

Contact Information

	Dr Alyssa J Provagna, MD
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-1770
	Not Available

Physician's Profile

Full Name	Dr Alyssa J Provagna
Gender	Female
Speciality	Obstetrics & Gynecology
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578024527
Provider Enumeration Date: 03/30/2019
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8123472958
Enrollment ID: I20230928000759

Medical Identifiers

Medical identifiers for Dr Alyssa J Provagna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578024527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	010127064 (Virginia)	Secondary
207V00000X	Obstetrics & Gynecology	0101270674 (Virginia)	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 Alyssa J Provagna 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 Alyssa J Provagna, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1770	Dr Alyssa J Provagna, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1770

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Obstetrics & Gynecology Doctors in Fort Leonard Wood, MO

Dr. Leah Swanzy Scarlotta, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 713-594-6936
Dr. Keane Emile Mccullum, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1770

Dr Alyssa J Provagna, MD - Medicare Obstetrics & Gynecology in Fort Leonard Wood, MO