Jennifer Michelle Divine, MD in Fort Collins, CO

Jennifer Michelle Divine, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Fort Collins, Colorado. She went to University Of South Florida College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. Her current practice location is 1260 Doctor's Lane, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 286-2668.

Jennifer Michelle Divine is licensed to practice in Colorado (license number DR.0058205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063779072.

Contact Information

	Jennifer Michelle Divine, MD
	1260 Doctor's Lane, Fort Collins, CO 80524
	(970) 286-2668
	(970) 294-4954

Map and Direction

Physician's Profile

Full Name	Jennifer Michelle Divine
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	1260 Doctor's Lane, Fort Collins, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Michelle Divine attended and graduated from University Of South Florida College Of Medicine in 2012

NPI Data:

NPI Number: 1063779072
Provider Enumeration Date: 04/15/2012
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7911278213
Enrollment ID: I20170804002141

Medical Identifiers

Medical identifiers for Jennifer Michelle Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063779072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	ME 131766 (Florida)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	DR.0058205 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poudre Valley Hospital	Fort collins, CO	Hospital

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. Jennifer Michelle Divine allows following entities to bill medicare on her behalf.

Entity Name	Divine Dermatology And Surgical Institute Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215460290 PECOS PAC ID: 0941571236 Enrollment ID: O20170804001092

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. Jennifer Michelle Divine 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
Jennifer Michelle Divine, MD 1260 Doctor's Lane, Fort Collins, CO 80524 Ph: () -	Jennifer Michelle Divine, MD 1260 Doctor's Lane, Fort Collins, CO 80524 Ph: (970) 286-2668

Reviews and Comments

Dermatology Doctors in Fort Collins, CO

Dr. Brooke Ann Caufield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Suite 270, Fort Collins, CO 80528 Phone: 970-305-4341
Dr. Anne-lise Hultsch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3726 S Timberline Rd, Suite101, Fort Collins, CO 80525 Phone: 970-221-5795 Fax: 970-221-1371
Dr. Joseph Vincent Lillis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3609 S Timberline Rd Unit A, Fort Collins, CO 80525 Phone: 970-305-4341 Fax: 970-482-9948
Allie Kay Preston, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4038 S Timberline Rd Unit 100, Fort Collins, CO 80525 Phone: 970-673-1155 Fax: 970-673-4747
Dr. Barbara Lynn West, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525 Phone: 970-221-5795 Fax: 970-221-1371
Dr. Nicole S Stefanko, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3726 S Timberline Rd Ste 101, Fort Collins, CO 80525 Phone: 970-221-5795

Jennifer Michelle Divine, MD - Medicare Dermatology in Fort Collins, CO