Gavin Douglas Divertie, MD in Jacksonville, FL - Medicare Critical Care (intensivists)

Gavin Douglas Divertie, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Jacksonville, Florida. He went to Mayo Medical School and graduated in 1983 and has 41 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Mayo Clinic - Florida and his current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Gavin Douglas Divertie is licensed to practice in Florida (license number ME54277) 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 1073500369.

Contact Information

	Gavin Douglas Divertie, MD
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Gavin Douglas Divertie
Gender	Male
Speciality	Critical Care (intensivists)
Experience	41 Years
Location	4500 San Pablo Rd S, Jacksonville, Florida
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:

Gavin Douglas Divertie attended and graduated from Mayo Medical School in 1983

NPI Data:

NPI Number: 1073500369
Provider Enumeration Date: 10/01/2005
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8820031271
Enrollment ID: I20050607000160

Medical Identifiers

Medical identifiers for Gavin Douglas Divertie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073500369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	ME54277 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Florida	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic - Florida	5698689297	1328

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. Gavin Douglas Divertie allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388

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. Gavin Douglas Divertie 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
Gavin Douglas Divertie, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: () -	Gavin Douglas Divertie, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Minnsun Koh Park, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656
Sandrela Mussallam Abu Shaibeh, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Gavin Douglas Divertie, MD - Medicare Critical Care (intensivists) in Jacksonville, FL