Ronald W Divine, MD in Scottsdale, AZ - Medicare Diagnostic Radiology

Ronald W Divine, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Scottsdale, Arizona. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southwest Diagnostic Imaging Ltd and his current practice location is 3501 N Scottsdale Rd Ste 130, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 425-5000.

Ronald W Divine is licensed to practice in Arizona (license number 36719) 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 1184672024.

Contact Information

	Ronald W Divine, MD
	3501 N Scottsdale Rd Ste 130, Scottsdale, AZ 85251-5649
	(480) 425-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ronald W Divine
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	3501 N Scottsdale Rd Ste 130, Scottsdale, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ronald W Divine attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1995

NPI Data:

NPI Number: 1184672024
Provider Enumeration Date: 05/04/2006
Last Update Date: 02/18/2019

Medicare PECOS Information:

PECOS PAC ID: 3072411636
Enrollment ID: I20170801002900

Medical Identifiers

Medical identifiers for Ronald W Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184672024	NPI	-	NPPES
138138	Medicaid	OR
102232	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	21536 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	36719 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Diagnostic Imaging Ltd	7416946199	94

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. Ronald W Divine allows following entities to bill medicare on his behalf.

Entity Name	Southwest Diagnostic Imaging Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294

Entity Name	Sonoran Radiology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412

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. Ronald W 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
Ronald W Divine, MD Po Box 2156, Corvallis, OR 97339-2156 Ph: (541) 758-5047	Ronald W Divine, MD 3501 N Scottsdale Rd Ste 130, Scottsdale, AZ 85251-5649 Ph: (480) 425-5000

Reviews and Comments

Radiology Doctors in Scottsdale, AZ

Nicole Warrington, MD Radiology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Rodney Scott Owen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 N Scottsdale Rd, Suite 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-425-5033
Christopher Charles May, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 N Scottsdale Rd, Ste 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-945-6548
William Henry Taylor, MD PHD Radiology Medicare: Medicare Enrolled Practice Location: 3501 N Scottsdale Rd, Ste 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-945-6548
Dr. Siddharth Yogen Pandya, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Quinn Alan Baker, MD Radiology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Ron H Ayanzen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8100 E Camelback Rd, Ste 137, Scottsdale, AZ 85251 Phone: 480-269-2727 Fax: 480-269-2727

Ronald W Divine, MD - Medicare Diagnostic Radiology in Scottsdale, AZ