Delmar Glen Pack, PA is a
Psychologist - Clinical based in Orange City, Florida. Delmar Glen Pack is licensed to practice in Florida (license number PY6914) and his current practice location is
810 Briarwood Ct, Orange City, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 956-1689.
NPI number for Delmar Glen Pack is 1902968811 and his current mailing address is 810 Briarwood Ct, Orange City, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902968811.
Healthcare Provider's Profile
| Full Name | Delmar Glen Pack |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 810 Briarwood Ct, Orange City, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902968811
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 08/31/2016
Medical Identifiers
Medical identifiers for Delmar Glen Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902968811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY6914 (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. Delmar Glen Pack 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 |
|---|
Delmar Glen Pack, PA
810 Briarwood Ct,
Orange City, FL 32763
Ph: (386) 774-6366 | Delmar Glen Pack, PA
810 Briarwood Ct,
Orange City, FL 32763
Ph: (386) 956-1689 |
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