Jennifer Kay Divine, SLP is a
Student In An Organized Health Care Education/training Program based in Orchard Park, New York. Jennifer Kay Divine is licensed to practice in * (Not Available) (license number ) and her current practice location is
6167 W Quaker St, Orchard Park, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 662-4800.
NPI number for Jennifer Kay Divine is 1821731183 and her current mailing address is 5563 Meadow Dr, Hamburg, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821731183.
Healthcare Provider's Profile
| Full Name | Jennifer Kay Divine |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6167 W Quaker St, Orchard Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821731183
- Provider Enumeration Date: 04/15/2022
- Last Update Date: 04/15/2022
Medical Identifiers
Medical identifiers for Jennifer Kay Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821731183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jennifer Kay Divine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer Kay Divine, SLP
5563 Meadow Dr,
Hamburg, NY 14075-6935
Ph: (716) 803-0625 | Jennifer Kay Divine, SLP
6167 W Quaker St,
Orchard Park, NY 14127-2640
Ph: (716) 662-4800 |
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