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MRS. JULIETTE LYNN PROVENZANO-GOBER
NPI 1336466705
Internal Medicine in Tarrytown, NY

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
155 WHITE PLAINS RD STE 210, TARRYTOWN, NY 10591(914) 372-7171 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Juliette Lynn Provenzano-gober NPPES

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

MRS. JULIETTE LYNN PROVENZANO-GOBER (NPI 1336466705) is an individual internal medicine provider in Tarrytown, New York, licensed in New York (263433) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1336466705
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. JULIETTE LYNN PROVENZANO-GOBER
Location Address155 WHITE PLAINS RD STE 210Tarrytown, NY 10591-5653
Mailing Address45 Half Moon LnIrvington, NY 10533-2520 · (914) 629-2284
Phone(914) 372-7171
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1336466705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 263433
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
155 WHITE PLAINS RD STE 210, Tarrytown, NY 10591
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Juliette Lynn Provenzano-gober 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 ID3173997046
PECOS Enrollment IDI20230315001678
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.

Medicare Billing Reassignment

Medicare enrollment records show Juliette Provenzano-gober reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Walk In Medical Urgent Care, P.C.
9.5 mi
Urgent Care
236 S MAIN ST, CLARKS TOWN PLAZA
New City, NY 10956
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Walk In Medical Urgent Care PC
  • 9 clinicians in this Medicare group
NPI 1306137070 (845) 703-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services94 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
27 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Juliette Provenzano-gober's NPI number?

The NPI number for Juliette Provenzano-gober is 1336466705. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Juliette Provenzano-gober located?

Juliette Provenzano-gober practices at 155 White Plains Rd Ste 210, Tarrytown, NY 10591. The listed phone number is (914) 372-7171.

What is Juliette Provenzano-gober's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Juliette Provenzano-gober enrolled in Medicare?

Yes. Juliette Provenzano-gober 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.

Which organization bills Medicare for Juliette Provenzano-gober's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juliette Provenzano-gober reassigns Medicare benefits to Walk In Medical Urgent Care, P.C. (New City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juliette Provenzano-gober's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juliette Provenzano-gober was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.