Dr Timothy Patrick Pagano, PHD, ABPP, MSCP is a
Psychologist - Prescribing (medical) based in Pafb, Colorado. Dr Timothy Patrick Pagano is licensed to practice in Idaho (license number 5971567) and his current practice location is
21st Mdg, 559 Vincent Street, Pafb, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 556-5898.
NPI number for Dr Timothy Patrick Pagano is 1881138410 and his current mailing address is 412 Mdg, 30 Nightingale Rd, Edwards Afb, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881138410.
Healthcare Provider's Profile
| Full Name | Dr Timothy Patrick Pagano |
|---|
| Gender | Male |
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| Speciality | Psychologist - Prescribing (medical) |
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| Location | 21st Mdg, Pafb, Colorado |
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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: 1881138410
- Provider Enumeration Date: 12/16/2016
- Last Update Date: 08/01/2025
Medical Identifiers
Medical identifiers for Dr Timothy Patrick Pagano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881138410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY60902512 (Washington) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY60902512 (Washington) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 5971567 (Idaho) | 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 Timothy Patrick Pagano 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 Timothy Patrick Pagano, PHD, ABPP, MSCP
412 Mdg, 30 Nightingale Rd,
Edwards Afb, CA 93523
Ph: (661) 277-2397 | Dr Timothy Patrick Pagano, PHD, ABPP, MSCP
21st Mdg, 559 Vincent Street,
Pafb, CO 80914-1540
Ph: (719) 556-5898 |
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