Daniel David Divilbiss, MD in Greenwood, SC

Daniel David Divilbiss, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Greenwood, South Carolina. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Self Regional Healthcare and his current practice location is 155 Academy Ave, Greenwood, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 725-4865.

Daniel David Divilbiss is licensed to practice in South Carolina (license number 27947) 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 1316979982.

Contact Information

	Daniel David Divilbiss, MD
	155 Academy Ave, Greenwood, SC 29646-3869
	(864) 725-4865
	(864) 725-4883

Map and Direction

Physician's Profile

Full Name	Daniel David Divilbiss
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	155 Academy Ave, Greenwood, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daniel David Divilbiss attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2005

NPI Data:

NPI Number: 1316979982
Provider Enumeration Date: 07/06/2006
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9436228251
Enrollment ID: I20080520000651

Medical Identifiers

Medical identifiers for Daniel David Divilbiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316979982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27947 (South Carolina)	Secondary
207QS0010X	Family Medicine - Sports Medicine	27947 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Self Regional Healthcare	Greenwood, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Self Regional Healthcare	4082527742	13

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. Daniel David Divilbiss allows following entities to bill medicare on his behalf.

Entity Name	Self Regional Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326067703 PECOS PAC ID: 4082527742 Enrollment ID: O20051214000767

Entity Name	Self Regional Healthcare Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656

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. Daniel David Divilbiss 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
Daniel David Divilbiss, MD 155 Academy Ave, Greenwood, SC 29646-3869 Ph: (864) 725-4865	Daniel David Divilbiss, MD 155 Academy Ave, Greenwood, SC 29646-3869 Ph: (864) 725-4865

Reviews and Comments

Family Medicine Doctors in Greenwood, SC

Sydney Eaker, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-229-4446
Georgia G Lesser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4272 Fax: 864-725-4452
Landon Lingenfelter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778
Lauren F Hearn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Academy Ave, Greenwood, SC 29646 Phone: 864-725-4865 Fax: 864-725-4883
Harvey Floyd Hatcher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 155 Academy Ave, Greenwood, SC 29646 Phone: 864-725-4865 Fax: 864-725-4883
Heather Highsmith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Academy Ave, Greenwood, SC 29646 Phone: 864-725-4865 Fax: 864-725-4883
Kelsey Spearman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Vinecrest Ct # 600, Greenwood, SC 29646 Phone: 864-227-2900 Fax: 864-227-6487

Daniel David Divilbiss, MD - Medicare Family Practice in Greenwood, SC