Dr David P Divita, MD in Palmetto, FL - Medicare Family Medicine

Dr David P Divita, MD is a medicare enrolled "Family Medicine" physician in Palmetto, Florida. His current practice location is 1120 10th St E, Palmetto, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 847-7903.

Dr David P Divita is licensed to practice in Florida (license number ME86246) 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 1205821303.

Contact Information

	Dr David P Divita, MD
	1120 10th St E, Palmetto, FL 34221-4134
	(941) 847-7903
	(941) 847-7919

Map and Direction

Physician's Profile

Full Name	Dr David P Divita
Gender	Male
Speciality	Family Medicine
Location	1120 10th St E, Palmetto, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205821303
Provider Enumeration Date: 09/14/2005
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5597654996
Enrollment ID: I20040313000002

Medical Identifiers

Medical identifiers for Dr David P Divita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205821303	NPI	-	NPPES
267953100	Medicaid	FL
080194322	Other	FL	RAIL ROAD MEDICARE
57812	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME86246 (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 David P Divita allows following entities to bill medicare on his behalf.

Entity Name	Optumcare Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123

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 David P Divita 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 David P Divita, MD 5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327 Ph: (727) 824-0780	Dr David P Divita, MD 1120 10th St E, Palmetto, FL 34221-4134 Ph: (941) 847-7903

Reviews and Comments

Family Medicine Doctors in Palmetto, FL

Dr. Thomas A Keith, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267
Dr. Angel Enrique Llanio, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267
Dr. Kimberley Kleckner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 14470 Harlee Rd, Palmetto, FL 34221 Phone: 941-747-3011
Dr. James A Briles, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267
Dr. Suzanne Sandra Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 10th St E, Palmetto, FL 34221 Phone: 941-847-7903 Fax: 941-847-7919
Rosanna Elena Ianiro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267

Dr David P Divita, MD - Medicare Family Medicine in Palmetto, FL