Dr Kristi L Dively, DO - Medicare Family Medicine in Ephrata, PA

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Dr Kristi L Dively, DO is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Ephrata, Pennsylvania. Her current practice location is 1170 S State St, Ephrata, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 859-8000.

Dr Kristi L Dively is licensed to practice in Pennsylvania (license number OS012313) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063447852.

Contact Information

Dr Kristi L Dively, DO
1170 S State St,
Ephrata, PA 17522-2601
(717) 859-8000
(717) 859-6313

Map and Direction




Physician's Profile

Full NameDr Kristi L Dively
GenderFemale
SpecialityFamily Medicine - Addiction Medicine
Location1170 S State St, Ephrata, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063447852
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789785387
  • Enrollment ID: I20100519000146

Medical Identifiers

Medical identifiers for Dr Kristi L Dively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063447852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology OS012313 (Pennsylvania)Secondary
207QA0401XFamily Medicine - Addiction Medicine OS012313 (Pennsylvania)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 Kristi L Dively allows following entities to bill medicare on her behalf.
Entity NameLancaster General Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952392383
PECOS PAC ID: 0941103683
Enrollment ID: O20040309000916
Entity NameLancaster General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720430812
PECOS PAC ID: 1254240039
Enrollment ID: O20040414000606
Entity NameLancaster General Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1730323759
PECOS PAC ID: 1254240039
Enrollment ID: O20090710000234

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 Kristi L Dively 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 AddressPractice Location Address
Dr Kristi L Dively, DO
1170 S. State Street,
Ephrata, PA 17522

Ph: (717) 859-8000		Dr Kristi L Dively, DO
1170 S State St,
Ephrata, PA 17522-2601

Ph: (717) 859-8000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.