| Kathleen Ann Divincenzo, MD | |
|
707 Sheridan Ave, Cody, WY 82414 | |
| (307) 578-2480 | |
| (307) 578-2492 |
| Full Name | Kathleen Ann Divincenzo |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 39 Years |
| Location | 707 Sheridan Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477596989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4494A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Park Hospital District | 7315855624 | 59 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | Sound Physicians Of Wyoming, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
| Entity Name | Hospitalist Medicine Physicians Of Wyoming - Casper, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730719550 PECOS PAC ID: 0648600239 Enrollment ID: O20200422002305 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Ann Divincenzo, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2480 | Kathleen Ann Divincenzo, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2480 |
Dr. Thomas Joseph Reid Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 9th St, Cody, WY 82414 Phone: 307-578-2828 | |
Dr. Elise Marie Lowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-763-0646 | |
Stephen E. Mainini, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Judd Larowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave Ste 230, Cody, WY 82414 Phone: 307-578-2975 | |
Richard D. Anderson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 424 Yellowstone Ave Ste 230, Cody, WY 82414 Phone: 307-578-2975 Fax: 307-578-2979 | |
Dr. Linsea Diane Ford, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 Fax: 307-578-2515 | |
Robert Scott White, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln Ste A, Cody, WY 82414 Phone: 307-578-1800 Fax: 307-578-1814 |