Kathleen Ann Divincenzo, MD | |
707 Sheridan Ave, Cody, WY 82414 | |
(307) 578-2480 | |
(307) 578-2492 |
Full Name | Kathleen Ann Divincenzo |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 37 Years |
Location | 707 Sheridan Ave, Cody, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477596989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4494A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cody Regional Health | Cody, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Park Hospital District | 7315855624 | 52 |
Entity Name | West Park Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
Entity Name | Sound Physicians Of Wyoming, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
Entity Name | Hospitalist Medicine Physicians Of Wyoming - Casper, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730719550 PECOS PAC ID: 0648600239 Enrollment ID: O20200422002305 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Ann Divincenzo, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2480 | Kathleen Ann Divincenzo, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2480 |
Dr. Thomas Joseph Reid Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 9th St, Cody, WY 82414 Phone: 307-578-2828 | |
Dr. Elise Marie Lowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-763-0646 | |
Stephen E. Mainini, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Judd Larowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave Ste 230, Cody, WY 82414 Phone: 307-578-2975 | |
Richard D. Anderson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 424 Yellowstone Ave Ste 230, Cody, WY 82414 Phone: 307-578-2975 Fax: 307-578-2979 | |
Robert Scott White, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln Ste A, Cody, WY 82414 Phone: 307-578-1800 Fax: 307-578-1814 | |
Dr. Gary Ray Hart, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 |