Dr Donald Roy Pake Jr, is a medicare enrolled "Psychologist" provider in Callaway, Florida. His current practice location is
429 S Tyndall Pkwy Ste B, Callaway, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 541-3504.
Dr Donald Roy Pake Jr is licensed to practice in Florida (license number PY7612) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417140542.
Healthcare Provider's Profile
| Full Name | Dr Donald Roy Pake Jr |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 429 S Tyndall Pkwy Ste B, Callaway, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417140542
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002227147
- Enrollment ID: I20201123000596
Medical Identifiers
Medical identifiers for Dr Donald Roy Pake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417140542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY7612 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donald Roy Pake Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mcr Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
|---|
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 Donald Roy Pake Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Donald Roy Pake Jr,
429 S Tyndall Pkwy Ste B,
Callaway, FL 32404-6746
Ph: (850) 541-3504 | Dr Donald Roy Pake Jr,
429 S Tyndall Pkwy Ste B,
Callaway, FL 32404-6746
Ph: (850) 541-3504 |
Reviews and Comments