Angela Dawn Divjak, MD in Shawano, WI - Medicare Family Practice

Angela Dawn Divjak, MD is a medicare enrolled "Family Medicine" physician in Shawano, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare, Incorporated, Thedacare Medical Center - Shawano, Inc. and her current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 524-2161.

Angela Dawn Divjak is licensed to practice in Wisconsin (license number 57265-20) 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 1639343973.

Contact Information

	Angela Dawn Divjak, MD
	100 County Road B, Shawano, WI 54166-7072
	(715) 524-2161
	Not Available

Map and Direction

Physician's Profile

Full Name	Angela Dawn Divjak
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	100 County Road B, Shawano, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Angela Dawn Divjak attended and graduated from University Of Wisconsin School Of Medicine in 2008

NPI Data:

NPI Number: 1639343973
Provider Enumeration Date: 04/17/2008
Last Update Date: 07/16/2012

Medicare PECOS Information:

PECOS PAC ID: 5991973976
Enrollment ID: I20120829000361

Medical Identifiers

Medical identifiers for Angela Dawn Divjak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639343973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	57265-20 (Wisconsin)	Primary
207Q00000X	Family Medicine	2008026576 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare At Home	Appleton, WI	Hospice
Thedacare Medical Center - Shawano	Shawano, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare, Incorporated	1759294887	509
Thedacare Medical Center - Shawano, Inc.	5890605836	32

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. Angela Dawn Divjak allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Thedacare Medical Center - Shawano, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117

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. Angela Dawn Divjak 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
Angela Dawn Divjak, MD Po Box 8003, Appleton, WI 54912-8003 Ph: () -	Angela Dawn Divjak, MD 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161

Reviews and Comments

Family Medicine Doctors in Shawano, WI

Dr. Mindy Maria Frimodig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Tod C Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-6244
Alisha Frances Fahley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Cornelius W Hyzer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-526-3461

Angela Dawn Divjak, MD - Medicare Family Practice in Shawano, WI