John Devivo, is a medicare enrolled "Social Worker - Clinical" provider in Milford, Michigan. He graduated from healthcare school in 1985 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Downriver Mental Health Clinic Pc and his current practice location is
120 S Main St, Suite C, Milford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 390-5791.
John Devivo is licensed to practice in Michigan (license number 6801046519) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205175791.
Healthcare Provider's Profile
| Full Name | John Devivo |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 41 Years |
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| Location | 120 S Main St, Milford, Michigan |
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| Accepts Medicare Assignments | Yes. He 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:
- John Devivo graduated from medical school in 1985
NPI Data:
- NPI Number: 1205175791
- Provider Enumeration Date: 02/05/2013
- Last Update Date: 02/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123308293
- Enrollment ID: I20220908001384
Medical Identifiers
Medical identifiers for John Devivo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205175791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801046519 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6801046519 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801046519 (Michigan) | Primary |
| 106H00000X | Marriage & Family Therapist | 6801046519 (Michigan) | Secondary |
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. John Devivo allows following entities to bill medicare on his behalf.
| Entity Name | Downriver Mental Health Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295866135
PECOS PAC ID: 7911995139
Enrollment ID: O20040505000533 |
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| Entity Name | Home Of New Vision |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457565202
PECOS PAC ID: 6901032218
Enrollment ID: O20131114001859 |
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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. John Devivo 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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John Devivo,
619 Mill St,
Milford, MI 48381-2270
Ph: (734) 646-3792 | John Devivo,
120 S Main St, Suite C,
Milford, MI 48381-1975
Ph: (248) 390-5791 |
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