Jack Warren Ito, PHD - Psychologist in 29 Palms, CA

Jack Warren Ito, PHD is a Psychologist - Clinical based in 29 Palms, California. Jack Warren Ito is licensed to practice in Pennsylvania (license number PS008530L) and his current practice location is Naval Hospital 29 Palms, Mcagcc, 29 Palms, California. He can be reached at his office (for appointments etc.) via phone at (760) 830-2782.

NPI number for Jack Warren Ito is 1710966593 and his current mailing address is Po Box 63, 29 Palms, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710966593.

Contact Information

Jack Warren Ito, PHD
Naval Hospital 29 Palms, Mcagcc,
29 Palms, CA 92278
(760) 830-2782
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJack Warren Ito
GenderMale
SpecialityPsychologist - Clinical
LocationNaval Hospital 29 Palms, 29 Palms, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710966593
  • Provider Enumeration Date: 01/11/2006
  • Last Update Date: 11/01/2007

Medical Identifiers

Medical identifiers for Jack Warren Ito such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710966593NPI-NPPES
016536380004MedicaidPA
163751OtherPAVALUE BEHAVIORAL HEALTH
959098OtherPAHIGHMARK PROVIDER NUMBER
A771081OtherPAVALUE BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS008530L (Pennsylvania)Primary
103T00000XPsychologist PS008530L (Pennsylvania)Secondary

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. Jack Warren Ito 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 AddressPractice Location Address
Jack Warren Ito, PHD
Po Box 63,
29 Palms, CA 92277

Ph: (760) 830-2782
Jack Warren Ito, PHD
Naval Hospital 29 Palms, Mcagcc,
29 Palms, CA 92278

Ph: (760) 830-2782

Reviews and Comments


Psychologist in 29 Palms, CA

Dr. William H Blau, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6528a Hillside Avenue, 29 Palms, CA 92277
Phone: 760-367-2117    Fax: 760-367-2117
Dr. Leonard Joseph Weston, PH D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 42525 Rancho Mirage Lane, 5682 The Historic Plaza, 29 Palms, CA 92277
Phone: 760-367-0411    Fax: 760-341-1333

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).

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