Jon G Divine, MD | |
222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231 | |
(513) 475-8690 | |
(513) 475-7593 |
Full Name | Jon G Divine |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 31 Years |
Location | 222 Piedmont Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659391761 | NPI | - | NPPES |
64077175 | Medicaid | KY | |
2475503 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 35-070497 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
West Chester Hospital | West chester, OH | Hospital |
Christ Hospital | Cincinnati, OH | Hospital |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Rehabclinics Spt Inc | 7113834102 | 302 |
Kentucky Rehabilitation Services, Inc. | 8224096474 | 61 |
Entity Name | University Of Cincinnati Physicians Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Mailing Address | Practice Location Address |
---|---|
Jon G Divine, MD 222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231 Ph: (513) 475-8690 | Jon G Divine, MD 222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231 Ph: (513) 475-8690 |
Dr. David Hayes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6825 Wooster Pike, Cincinnati, OH 45227 Phone: 513-272-0250 Fax: 513-272-1278 | |
Donald R Williams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 473 Old State Route 74, Suite 4, Cincinnati, OH 45244 Phone: 513-528-1505 Fax: 513-528-5982 | |
Dr. Usha R Shenai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10196 Springfield Pike, Cincinnati, OH 45215 Phone: 513-771-0800 Fax: 513-771-0803 | |
Dr. Reid Arthur Hartmann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 Phone: 513-585-3238 Fax: 513-585-3254 | |
Lee E Niemeyer Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 379 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-246-7000 Fax: 513-246-7590 | |
Richard J Sanders, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3645 Stonecreek Blvd Unit D, Cincinnati, OH 45251 Phone: 513-923-2300 | |
James N O'dea, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7575 5 Mile Rd, Cincinnati, OH 45230 Phone: 513-232-7100 Fax: 513-624-1240 |