Divya Goutam Vijendra, MD in Bryan, OH - Medicare Hematology/oncology

Divya Goutam Vijendra, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Bryan, Ohio. She graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice University Of Toledo Physicians Llc and her current practice location is 433 W High St, Bryan, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 636-1131.

Divya Goutam Vijendra is licensed to practice in Ohio (license number 35084674) 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 1164502373.

Contact Information

	Divya Goutam Vijendra, MD
	433 W High St, Bryan, OH 43506-1690
	(419) 636-1131
	(419) 636-3100

Map and Direction

Physician's Profile

Full Name	Divya Goutam Vijendra
Gender	Female
Speciality	Hematology/oncology
Experience	28 Years
Location	433 W High St, Bryan, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Divya Goutam Vijendra graduated from medical school in 1997

NPI Data:

NPI Number: 1164502373
Provider Enumeration Date: 10/16/2006
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 1759359623
Enrollment ID: I20040918000136

Medical Identifiers

Medical identifiers for Divya Goutam Vijendra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164502373	NPI	-	NPPES
2491683	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35-084674 (Ohio)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	35084674 (Ohio)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	35084674 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Toledo Medical Center	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Toledo Physicians Llc	8729983416	365

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. Divya Goutam Vijendra allows following entities to bill medicare on her behalf.

Entity Name	University Of Toledo Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019

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. Divya Goutam Vijendra 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
Divya Goutam Vijendra, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131	Divya Goutam Vijendra, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131

Reviews and Comments

Internal Medicine Doctors in Bryan, OH

Lamberto Diaz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438
Damoder R. Kesireddy, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029
Dr. Scott A. Frederick, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Dr. Michael D Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029
Dr. Philip A Lowry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2291 Fax: 419-630-2181
Mrs. Alyssa Rose Motter, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 E Wilson St, Bryan, OH 43506 Phone: 419-553-4935

Divya Goutam Vijendra, MD - Medicare Hematology/oncology in Bryan, OH