Mr John S Ptack, in Lemon Grove, CA

Mr John S Ptack, is a Counselor - Addiction (substance Use Disorder) based in Lemon Grove, California. Mr John S Ptack is licensed to practice in * (Not Available) (license number ) and his current practice location is 2049 Skyline Dr, Lemon Grove, California. He can be reached at his office (for appointments etc.) via phone at (619) 465-7303.

NPI number for Mr John S Ptack is 1578792487 and his current mailing address is Po Box 153216, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578792487.

Contact Information

	Mr John S Ptack,
	2049 Skyline Dr, Lemon Grove, CA 91945-4221
	(619) 465-7303
	(619) 644-2503

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John S Ptack
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2049 Skyline Dr, Lemon Grove, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1578792487
Provider Enumeration Date: 07/13/2009
Last Update Date: 07/13/2009

Medical Identifiers

Medical identifiers for Mr John S Ptack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578792487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Mr John S Ptack 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
Mr John S Ptack, Po Box 153216, San Diego, CA 92195-3216 Ph: (619) 517-2327	Mr John S Ptack, 2049 Skyline Dr, Lemon Grove, CA 91945-4221 Ph: (619) 465-7303

Reviews and Comments

Counselor in Lemon Grove, CA

Steven Fremland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303
Caroline Jane Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303
Mrs. Teruyo Mukai Eskins, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-797-1090 Fax: 619-797-1091
James Duque Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-889-4607 Fax: 619-797-1091
Sandra Denise Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 Fax: 619-466-4672
Eddy Fuentes Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-442-0277
Cynthia Dawn Casarrubias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 Fax: 619-644-2503

Mr John S Ptack, - Counselor in Lemon Grove, CA