Dr Matthew Jared Diveronica, MD in Portland, OR - Medicare Hospitalist

Dr Matthew Jared Diveronica, MD is a medicare enrolled "Hospitalist" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd # L579, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 220-8262.

Dr Matthew Jared Diveronica is licensed to practice in Oregon (license number MD165935) 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 1710286901.

Contact Information

	Dr Matthew Jared Diveronica, MD
	3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011
	(503) 220-8262
	Not Available

Physician's Profile

Full Name	Dr Matthew Jared Diveronica
Gender	Male
Speciality	Hospitalist
Location	3181 Sw Sam Jackson Park Rd # L579, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710286901
Provider Enumeration Date: 03/28/2011
Last Update Date: 02/12/2016

Medicare PECOS Information:

PECOS PAC ID: 0749425114
Enrollment ID: I20130408000246

Medical Identifiers

Medical identifiers for Dr Matthew Jared Diveronica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710286901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD165935 (Oregon)	Primary

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 Matthew Jared Diveronica 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 Matthew Jared Diveronica, MD 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 Ph: () -	Dr Matthew Jared Diveronica, MD 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 Ph: (503) 220-8262

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Hospitalist Doctors in Portland, OR

Ellen B Stevenson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227 Phone: 503-413-2402 Fax: 503-413-2566
Ivan I Biley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 Phone: 503-216-2621
Dr. Thomas G Wimmer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114
Dr. Rhonda Ann Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Portland, OR 97213 Phone: 503-215-0750
Todd R Merrick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114
Dr. Rachel Anne Westwood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 Phone: 503-494-8311
Joel N Papak, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239 Phone: 503-220-8262

Dr Matthew Jared Diveronica, MD - Medicare Hospitalist in Portland, OR