Provision Health Care LLC
A Medicare group practice based in El Dorado, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0345610341), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0345610341
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR, LA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230109002781 | LA | Part B Supplier - Clinic/Group Practice | 1073248845 |
| O20260106001581 | AR | Part B Supplier - Clinic/Group Practice | 1134090061 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Provision Health Care LLC
dba Family Convenience Clinic
- Clinic/Center
- West Monroe, LA
- NPI 1073248845
-
Provision Health Care LLC
- Family Nurse Practitioner
- El Dorado, AR
- NPI 1134090061
Practice locations
- West Monroe, LA1
- El Dorado, AR1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).
-
Donald Newton Givler, M.D.
- Family Medicine Physician
- Monroe, LA
- NPI 1093731515
-
Miranda Lee
- Family Nurse Practitioner
- West Monroe, LA
- NPI 1568089324
-
Sarah Michelle Malone, FNP-C
- Family Nurse Practitioner
- West Monroe, LA
- NPI 1285522789
-
Donna N Saterfiel, FNP
- Family Nurse Practitioner
- West Monroe, LA
- NPI 1285600908
-
Gerald S Stipanuk, MD
- Internal Medicine Physician
- Jonesboro, AR
- NPI 1669459905
-
Katelyn Taylor, FNP
- Family Nurse Practitioner
- West Monroe, LA
- NPI 1700238581
-
Taylor Nicole Waxley, APRN
- Nurse Practitioner
- El Dorado, AR
- NPI 1891646246
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.