Dr Jack Deems Gold, PHD is a medicare enrolled "Psychologist - Clinical" provider in Summerfield, Florida. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
15151 S Us Highway 441 Ste 300, Summerfield, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 502-3525.
Dr Jack Deems Gold is licensed to practice in Florida (license number PY7209) 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 1831141654.
Healthcare Provider's Profile
| Full Name | Dr Jack Deems Gold |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 47 Years |
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| Location | 15151 S Us Highway 441 Ste 300, Summerfield, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Deems Gold graduated from medical school in 1977
NPI Data:
- NPI Number: 1831141654
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062413172
- Enrollment ID: I20070116000328
Medical Identifiers
Medical identifiers for Dr Jack Deems Gold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831141654 | NPI | - | NPPES |
| 08KTA | Other | FL | BC/BS |
| 90100 | Other | FL | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY7209 (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 Jack Deems Gold 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 Address | Practice Location Address |
|---|
Dr Jack Deems Gold, PHD
15151 S Us Highway 441 Ste 300,
Summerfield, FL 34491-4482
Ph: (352) 502-3525 | Dr Jack Deems Gold, PHD
15151 S Us Highway 441 Ste 300,
Summerfield, FL 34491-4482
Ph: (352) 502-3525 |
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