Dr Roger Allen Divis, DC is a medicare enrolled "Chiropractor" provider in Chandler, Oklahoma. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. His current practice location is
910 E 1st St, Chandler, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 258-0014.
Dr Roger Allen Divis is licensed to practice in Oklahoma (license number 3592) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639191208.
Healthcare Provider's Profile
| Full Name | Dr Roger Allen Divis |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | 910 E 1st St, Chandler, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Roger Allen Divis graduated from medical school in 2001
NPI Data:
- NPI Number: 1639191208
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 03/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 4284694829
- Enrollment ID: I20041021000314
Medical Identifiers
Medical identifiers for Dr Roger Allen Divis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639191208 | NPI | - | NPPES |
| P00135785 DB9021 | Other | OK | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3592 (Oklahoma) | Primary |
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. Dr Roger Allen Divis allows following entities to bill medicare on his behalf.
| Provider Name | Back To Health Chiropractic P C |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871515981
PECOS PAC ID: 2860452497
Enrollment ID: O20041018000548 |
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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. Dr Roger Allen Divis 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 |
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Dr Roger Allen Divis, DC
Po Box 128,
Chandler, OK 74834-0128
Ph: (405) 258-0014 | Dr Roger Allen Divis, DC
910 E 1st St,
Chandler, OK 74834-2404
Ph: (405) 258-0014 |
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