Angela Kristen Devine, DO is a medicare enrolled "Emergency Medicine" physician in Saint James, New York. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice John T Mather Memorial Hospital, North Shore - Lij Medical Pc and her current practice location is
25 Stonegate, Saint James, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 235-2961.
Angela Kristen Devine is licensed to practice in New York (license number 317811) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265992887.
Physician's Profile
| Full Name | Angela Kristen Devine |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 5 Years |
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| Location | 25 Stonegate, Saint James, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela Kristen Devine graduated from medical school in 2019
NPI Data:
- NPI Number: 1265992887
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 08/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648507087
- Enrollment ID: I20220810002063
Medical Identifiers
Medical identifiers for Angela Kristen Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265992887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 317811 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| John T Mather Memorial Hospital | 1254237753 | 142 |
| North Shore - Lij Medical Pc | 3375701568 | 5099 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Kristen Devine allows following entities to bill medicare on her behalf.
| Entity Name | John T Mather Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932296316
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754 |
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| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Kristen Devine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Angela Kristen Devine, DO
25 Stonegate,
Saint James, NY 11780-4228
Ph: () - | Angela Kristen Devine, DO
25 Stonegate,
Saint James, NY 11780-4228
Ph: (631) 235-2961 |
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