Jennifer Michelle Divine, MD - Medicare Dermatology 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



Physician's Profile

Full NameJennifer Michelle Divine
GenderFemale
SpecialityDermatology
Experience12 Years
Location12901 Bruce B Downs Blvd, Tampa, Florida
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:
  • 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.
IdentifierTypeStateIssuer
1063779072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery DR.0058205 (Colorado)Primary
207ND0101XDermatology - Mohs-micrographic Surgery ME 131766 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Poudre Valley HospitalFort collins, COHospital

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 NameDivine Dermatology And Surgical Institute Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215460290
PECOS PAC ID: 0941571236
Enrollment ID: O20170804001092

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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 AddressPractice 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

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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

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