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DR. DAVID E. PROVENCHER JR. M.D.
NPI 1326098120
Allergy & Immunology in Plant City, FL

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
106 SOUTHERN OAK DRIVE, PLANT CITY, FL 33563(813) 752-8595(813) 752-8088 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David E. Provencher Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID E. PROVENCHER JR. M.D. (NPI 1326098120) is an individual allergy & immunology provider in Plant City, Florida, licensed in Florida (ME81615) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1326098120
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. DAVID E. PROVENCHER JR.Credential: M.D.
Location Address106 SOUTHERN OAK DRIVEPlant City, FL 33563
Mailing AddressPo Box 2156Plant City, FL 33564-2156 · (813) 486-2085
Phone(813) 752-8595
Fax(813) 752-8088
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1996
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 16, 2020
✔ NPI 1326098120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in FL · ME81615
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License ME81615 (FL)
106 SOUTHERN OAK DRIVE, Plant City, FL 33563
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Other Identifiers 1

Medicaid262145201FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David E. Provencher Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719880608
PECOS Enrollment IDI20040128001097
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Provencher's NPI number?

The NPI number for David Provencher is 1326098120. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is David Provencher located?

David Provencher practices at 106 Southern Oak Drive, Plant City, FL 33563. The listed phone number is (813) 752-8595.

What is David Provencher's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is David Provencher enrolled in Medicare?

Yes. David Provencher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Provencher accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list David Provencher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Provencher was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.