Dr Donald Roy Pake Jr, is a
Psychologist based in Callaway, Florida. Dr Donald Roy Pake Jr is licensed to practice in Florida (license number PY7612) and his current practice location is
429 S Tyndall Pkwy Ste B, Callaway, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 541-3504.
NPI number for Dr Donald Roy Pake Jr is 1417140542 and his current mailing address is 429 S Tyndall Pkwy Ste B, Callaway, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417140542.
Healthcare Provider's Profile
| Full Name | Dr Donald Roy Pake Jr |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 429 S Tyndall Pkwy Ste B, Callaway, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417140542
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 07/27/2022
Medical Identifiers
Medical identifiers for Dr Donald Roy Pake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417140542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY7612 (Florida) | 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. Dr Donald Roy Pake Jr 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 |
|---|
Dr Donald Roy Pake Jr,
429 S Tyndall Pkwy Ste B,
Callaway, FL 32404-6746
Ph: (850) 541-3504 | Dr Donald Roy Pake Jr,
429 S Tyndall Pkwy Ste B,
Callaway, FL 32404-6746
Ph: (850) 541-3504 |
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