825 S 8TH ST PARKSIDE PROFESSIONAL BLDG., STE 600
MINNEAPOLIS, MN 55404-1208 US PECOS Enrolled
Alan Divine
Internal Medicine Physician
- MINNEAPOLIS, MN
- Phone: (612)-339-7171
- Last Updated 11/10/2020
Overview
Alan Divine is a Internal Medicine Physician in the MINNEAPOLIS area and has over 44 years of experience. Alan Divine primary office location is at 825 S 8TH ST and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Minnesota Medical School and graduated 1980
Alan Divine is affiliated with six hospitals in the MINNEAPOLIS area, including . The NPI number is 1104825280 and the information was updated approximately 4 years ago.
Alan Divine is part of two medical groups, including GERIATRIC SERVICES OF MINNESOTA LLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 26378 | MN |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICA | 0401146 | MN |
| MEDICAID | 876265100 | MN |
| HEALTH PARTNERS | HP19647 | MN |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040220000593 |
| PECOS Individual PAC ID: | 9032004734 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
Find information on any health care provider or organization that has an National Provider Identifier, view related providers and organizations as well as referral information when available.
Gain Insights into the network of healthcare.
