Jennifer Michelle Divine, MD in Tampa, FL

Jennifer Michelle Divine, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Tampa, Florida. She went to University Of South Florida College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. Her current practice location is 12901 Bruce B Downs Blvd, Mdc 41, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 844-7412.

Jennifer Michelle Divine is licensed to practice in Colorado (license number DR.0058205) 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 1063779072.

Contact Information

	Jennifer Michelle Divine, MD
	12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612-4742
	(813) 844-7412
	(813) 974-8359

Map and Direction

Physician's Profile

Full Name	Jennifer Michelle Divine
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	12901 Bruce B Downs Blvd, Tampa, Florida
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:

Jennifer Michelle Divine attended and graduated from University Of South Florida College Of Medicine in 2012

NPI Data:

NPI Number: 1063779072
Provider Enumeration Date: 04/15/2012
Last Update Date: 04/06/2017

Medicare PECOS Information:

PECOS PAC ID: 7911278213
Enrollment ID: I20170804002141

Medical Identifiers

Medical identifiers for Jennifer Michelle Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063779072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	DR.0058205 (Colorado)	Primary
207ND0101X	Dermatology - Mohs-micrographic Surgery	ME 131766 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poudre Valley Hospital	Fort collins, CO	Hospital

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. Jennifer Michelle Divine allows following entities to bill medicare on her behalf.

Entity Name	Divine Dermatology And Surgical Institute Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215460290 PECOS PAC ID: 0941571236 Enrollment ID: O20170804001092

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. Jennifer Michelle Divine 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
Jennifer Michelle Divine, MD 1260 Doctor's Lane, Fort Collins, CO 80524 Ph: () -	Jennifer Michelle Divine, MD 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612-4742 Ph: (813) 844-7412

Reviews and Comments

Dermatology Doctors in Tampa, FL

Dr. Scott Forrester Lindsey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 Phone: 813-609-3810 Fax: 813-559-1846
Dr. Alan M Freedman, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4412 W Osborne Ave, Tampa, FL 33614 Phone: 813-914-9100 Fax: 239-278-1159
Philip Shenefelt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12901 Bruce B Downs Blvd, Mdc 79, Tampa, FL 33612 Phone: 813-974-2920
Dr. Henry E Wiley Iii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Howard Ave, Tampa, FL 33606 Phone: 813-253-2635 Fax: 813-254-7142
Ferwa Mohammed, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602 Phone: 813-590-6868
Dr. Salma Z Pothiawala, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15310 Amberly Dr, Suite 150, Tampa, FL 33647 Phone: 813-978-8888 Fax: 813-972-8974
Brianna Castillo, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 11601 Sheldon Rd, Tampa, FL 33626 Phone: 813-324-6630 Fax: 813-926-1500

Jennifer Michelle Divine, MD - Medicare Dermatology in Tampa, FL