Dr Samuel S Divaker, MD in Mount Dora, FL

Dr Samuel S Divaker, MD is a medicare enrolled "Pediatrics" physician in Mount Dora, Florida. His current practice location is 6551 N Orange Blossom Trl Ste 229, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 383-8384.

Dr Samuel S Divaker is licensed to practice in Florida (license number MD90893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437250917.

Contact Information

	Dr Samuel S Divaker, MD
	6551 N Orange Blossom Trl Ste 229, Mount Dora, FL 32757-7018
	(352) 383-8384
	(678) 553-0329

Map and Direction

Physician's Profile

Full Name	Dr Samuel S Divaker
Gender	Male
Speciality	Pediatrics
Location	6551 N Orange Blossom Trl Ste 229, Mount Dora, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437250917
Provider Enumeration Date: 09/26/2006
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 7517184732
Enrollment ID: I20140812002343

Medical Identifiers

Medical identifiers for Dr Samuel S Divaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437250917	NPI	-	NPPES
270372600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME90893 (Florida)	Secondary
208000000X	Pediatrics	MD90893 (Florida)	Primary

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. Dr Samuel S Divaker allows following entities to bill medicare on his behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

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. Dr Samuel S Divaker 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
Dr Samuel S Divaker, MD 13506 Summerport Village Pkwy # 334, Windermere, FL 34786-7366 Ph: (407) 615-5005	Dr Samuel S Divaker, MD 6551 N Orange Blossom Trl Ste 229, Mount Dora, FL 32757-7018 Ph: (352) 383-8384

Reviews and Comments

Pediatrics Doctors in Mount Dora, FL

Rezia Catherine Shobhana Divaker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6551 N Orange Blossom Trl, Ste# 229, Mount Dora, FL 32757 Phone: 352-383-8384
Dr. Elmer Thomas Carlson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495
Dr. Lorraine Noreen Mitchell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 N Donnelly St Ste 103, Mount Dora, FL 32757 Phone: 352-383-0624
Liliane Kovacs Lesmes, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495
Michael Curtis Baker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 N Donnelly St, Ste 103, Mount Dora, FL 32757 Phone: 352-383-0624 Fax: 352-383-0758

Dr Samuel S Divaker, MD - Medicare Pediatrics in Mount Dora, FL