Dr Jack M Hafer, DDS is a
Dentist based in Pasadena, Florida. Dr Jack M Hafer is licensed to practice in Florida (license number DN5390) and his current practice location is
2525 Pasadena Ave S, Ste E, Pasadena, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 360-7063.
NPI number for Dr Jack M Hafer is 1063567279 and his current mailing address is 13779 Pinecrest Drive, Largo, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063567279.
Healthcare Provider's Profile
| Full Name | Dr Jack M Hafer |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 2525 Pasadena Ave S, Pasadena, 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: 1063567279
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack M Hafer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063567279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN5390 (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 M Hafer 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 Jack M Hafer, DDS
13779 Pinecrest Drive,
Largo, FL 33774-4513
Ph: (727) 595-3757 | Dr Jack M Hafer, DDS
2525 Pasadena Ave S, Ste E,
Pasadena, FL 33707
Ph: (727) 360-7063 |
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