Charles Joseph Devine Iii, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Boydton, Virginia. His current practice location is
434 Washington St., Boydton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 738-6815.
Charles Joseph Devine Iii is licensed to practice in Virginia (license number 0101034518) 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 1053454058.
Physician's Profile
Full Name | Charles Joseph Devine Iii |
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Gender | Male |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 434 Washington St., Boydton, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053454058
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406804558
- Enrollment ID: I20150203002422
Medical Identifiers
Medical identifiers for Charles Joseph Devine Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053454058 | NPI | - | NPPES |
5811007 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 0101034518 (Virginia) | 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. Charles Joseph Devine Iii 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 |
Charles Joseph Devine Iii, MD 434 Washington St., Po Box 560, Boydton, VA 23917 Ph: (434) 738-6815 | Charles Joseph Devine Iii, MD 434 Washington St., Boydton, VA 23917 Ph: (434) 738-6815 |
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