Dr Ammar Y Divan, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Bloomingdale, Illinois. He went to Georgetown University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Central Dupage Physician Group and his current practice location is
245 S Gary Ave Ste 100, Bloomingdale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 933-4550.
Dr Ammar Y Divan is licensed to practice in Illinois (license number 036123274) 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 1588977557.
Physician's Profile
| Full Name | Dr Ammar Y Divan |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 19 Years |
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| Location | 245 S Gary Ave Ste 100, Bloomingdale, Illinois |
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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:
- Dr Ammar Y Divan attended and graduated from Georgetown University School Of Medicine in 2005
NPI Data:
- NPI Number: 1588977557
- Provider Enumeration Date: 07/20/2010
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537341581
- Enrollment ID: I20230830001077
Medical Identifiers
Medical identifiers for Dr Ammar Y Divan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588977557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 036123274 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 0101247908 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | D71131 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | 068143 (Georgia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036123274 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Dupage Physician Group | 5890696231 | 1003 |
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 Ammar Y Divan allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Dr Ammar Y Divan 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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Dr Ammar Y Divan, MD
245 S Gary Ave Ste 100,
Bloomingdale, IL 60108-2200
Ph: (630) 933-4550 | Dr Ammar Y Divan, MD
245 S Gary Ave Ste 100,
Bloomingdale, IL 60108-2200
Ph: (630) 933-4550 |
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