Dr Venu Divi, MD is a medicare enrolled "Otolaryngology" physician in San Pedro, California. He went to Northeastern Ohio University College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Prohealth Partners, A Medical Group and his current practice location is
350 W 5th St Ste 209, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 521-6386.
Dr Venu Divi is licensed to practice in California (license number C55612) 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 1245390228.
Physician's Profile
| Full Name | Dr Venu Divi |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 23 Years |
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| Location | 350 W 5th St Ste 209, San Pedro, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Venu Divi attended and graduated from Northeastern Ohio University College Of Medicine in 2001
NPI Data:
- NPI Number: 1245390228
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537268826
- Enrollment ID: I20130424000977
Medical Identifiers
Medical identifiers for Dr Venu Divi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245390228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | C55612 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prohealth Partners, A Medical Group | 2769388412 | 229 |
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 Venu Divi allows following entities to bill medicare on his behalf.
| Entity Name | Prohealth Partners, A Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003949975
PECOS PAC ID: 2769388412
Enrollment ID: O20031211000927 |
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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 Venu Divi 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 |
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Dr Venu Divi, MD
21320 Hawthorne Blvd, Suite 119,
Torrance, CA 90503-5606
Ph: (310) 540-2111 | Dr Venu Divi, MD
350 W 5th St Ste 209,
San Pedro, CA 90731-2752
Ph: (310) 521-6386 |
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