Dr Michael Norman Divak, PHD - Medicare Psychologist in Canajoharie, NY

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Dr Michael Norman Divak, PHD is a medicare enrolled "Psychologist - Clinical" provider in Canajoharie, New York. His current practice location is 66 Montgomery St Ste 2, Canajoharie, New York. You can reach out to his office (for appointments etc.) via phone at (518) 673-6001.

Dr Michael Norman Divak is licensed to practice in New York (license number 021046-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508284704.

Contact Information

Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212
(518) 673-6001
(518) 673-6033

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael Norman Divak
GenderMale
SpecialityPsychologist - Clinical
Location66 Montgomery St Ste 2, Canajoharie, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508284704
  • Provider Enumeration Date: 04/03/2014
  • Last Update Date: 08/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9638476401
  • Enrollment ID: I20160322000705

Medical Identifiers

Medical identifiers for Dr Michael Norman Divak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508284704NPI-NPPES
021046OtherNYLICENSE PSYCHOLGIST
021046OtherNYNEW YORK STATE OFFICE OF PROFESSION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021046-1 (New York)Primary

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. Dr Michael Norman Divak allows following entities to bill medicare on his behalf.
Entity NameThe Family Counseling Center Of Fulton County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164473831
PECOS PAC ID: 0042283335
Enrollment ID: O20040816000523

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. Dr Michael Norman Divak 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
Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212

Ph: (518) 673-6001		Dr Michael Norman Divak, PHD
66 Montgomery St Ste 2,
Canajoharie, NY 13317-1212

Ph: (518) 673-6001

Reviews and Comments


Psychologist in Canajoharie, NY

Dr. Kelly Ann Swart, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 136 Scholastic Way, Canajoharie, NY 13317
Phone: 518-673-6310    Fax: 518-673-4131
Mrs. Amy Blowers, MS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 25 School District Rd, Canajoharie, NY 13317
Phone: 518-673-6310    

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.