Casey Ryan Divin, - Medicare Nurse Practitioner in San Antonio, TX

Casey Ryan Divin, is a medicare enrolled "Nurse Practitioner - Family" in San Antonio, Texas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vpa Of Texas Pllc and his current practice location is 5414 Fredericksburg Rd Ste 100a, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 468-0800.

Casey Ryan Divin is licensed to practice in Texas (license number AP135899) 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 1154835536.

Contact Information

Casey Ryan Divin,
5414 Fredericksburg Rd Ste 100a,
San Antonio, TX 78229-3641
(210) 468-0800
Not Available

Map and Direction




Provider's Profile

Full NameCasey Ryan Divin
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location5414 Fredericksburg Rd Ste 100a, San Antonio, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Casey Ryan Divin graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1154835536
  • Provider Enumeration Date: 11/21/2017
  • Last Update Date: 01/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709148232
  • Enrollment ID: I20180322000362

Medical Identifiers

Medical identifiers for Casey Ryan Divin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154835536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP135899 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vpa Of Texas Pllc761891166043

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. Casey Ryan Divin allows following entities to bill medicare on his behalf.
Entity NameVpa Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702

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. Casey Ryan Divin 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 AddressPractice Location Address
Casey Ryan Divin,
20529 Wind Spgs,
San Antonio, TX 78258-7457

Ph: () -
Casey Ryan Divin,
5414 Fredericksburg Rd Ste 100a,
San Antonio, TX 78229-3641

Ph: (210) 468-0800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.