Dr Jack Deems Gold, PHD is a medicare enrolled "Psychologist - Clinical" provider in Summerfield, Florida. His current practice location is
15151 S Us Highway 441 Ste 300, Summerfield, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 502-3525.
Dr Jack Deems Gold is licensed to practice in Florida (license number PY7209) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831141654.
Healthcare Provider's Profile
| Full Name | Dr Jack Deems Gold |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 15151 S Us Highway 441 Ste 300, Summerfield, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Deems Gold attended and graduated from in
NPI Data:
- NPI Number: 1831141654
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jack Deems Gold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831141654 | NPI | - | NPPES |
| 08KTA | Other | FL | BC/BS |
| 90100 | Other | FL | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY7209 (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 Deems Gold 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 Jack Deems Gold, PHD
15151 S Us Highway 441 Ste 300,
Summerfield, FL 34491-4482
Ph: (352) 502-3525 | Dr Jack Deems Gold, PHD
15151 S Us Highway 441 Ste 300,
Summerfield, FL 34491-4482
Ph: (352) 502-3525 |
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