All Medicaid billing entities listing PROVENCHER, TAMMY (CREDENTIALING SUPERVISOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $415K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. | FREDERICKSBURG, VA | Nephrology Physician | $415K |