Richard Joseph Provenzano, MD | |
322 Dewey St, Bennington, VT 05201-2225 | |
(802) 447-8700 | |
(802) 447-1500 |
Full Name | Richard Joseph Provenzano |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 322 Dewey St, Bennington, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962456905 | NPI | - | NPPES |
I19054 | Other | VT | MABS |
00461192 | Medicaid | NY | |
VT5144 | Other | VT | VTBS |
000000024109 | Other | MA | BMC |
10001651 | Other | VT | CDPHP |
15622 | Other | VT | 15622 |
15622 | Other | MA | HNE |
17155 | Other | VT | MVP |
000000024110 | Other | VT | BMC |
110000678A | Medicaid | MA | |
10001651 | Other | MA | CDPHP |
I19054 | Other | MA | MABS |
0005144 | Medicaid | VT | |
17155 | Other | MA | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 45884 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 042-0006501 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Richard Joseph Provenzano, MD 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 | Richard Joseph Provenzano, MD 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 |
News Archive
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› Verified 3 days ago
Erik William Niemi, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 | |
Stuart Michael Duboff, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 | |
Dr. John Joseph Lapenta, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 |