Kacey Divincenzo, PA-C - Medicare Physician Assistant in Warren, OH

Kacey Divincenzo, PA-C is a medicare enrolled "Physician Assistant" in Warren, Ohio. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Triad Health Services Llc and her current practice location is 2473 North Rd Ne, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 372-2251.

Kacey Divincenzo is licensed to practice in Ohio (license number 50.007802RX) 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 1558082644.

Contact Information

Kacey Divincenzo, PA-C
2473 North Rd Ne,
Warren, OH 44483-3054
(330) 372-2251
Not Available

Map and Direction




Provider's Profile

Full NameKacey Divincenzo
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location2473 North Rd Ne, Warren, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kacey Divincenzo graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1558082644
  • Provider Enumeration Date: 09/07/2022
  • Last Update Date: 12/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143696260
  • Enrollment ID: I20221014001126

Medical Identifiers

Medical identifiers for Kacey Divincenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558082644NPI-NPPES
0001385MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.007802RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Surgical Hospital At SouthwoodsYoungstown, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Triad Health Services Llc9032367917226

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. Kacey Divincenzo 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 AddressPractice Location Address
Kacey Divincenzo, PA-C
517 Ophelia St,
Newton Falls, OH 44444-1470

Ph: (330) 980-2237
Kacey Divincenzo, PA-C
2473 North Rd Ne,
Warren, OH 44483-3054

Ph: (330) 372-2251

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.