John W Bakaly, PHD - Medicare Psychologist in Pasadena, CA

John W Bakaly, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pasadena, California. His current practice location is 130 S Euclid Ave Ste 8, Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 793-6925.

John W Bakaly is licensed to practice in California (license number PSY12862) 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 1659415974.

Contact Information

John W Bakaly, PHD
130 S Euclid Ave Ste 8,
Pasadena, CA 91101-2472
(626) 793-6925
(626) 795-6899

Map and Direction




Healthcare Provider's Profile

Full NameJohn W Bakaly
GenderMale
SpecialityPsychologist - Clinical
Location130 S Euclid Ave Ste 8, Pasadena, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659415974
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274814983
  • Enrollment ID: I20170111000521

Medical Identifiers

Medical identifiers for John W Bakaly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659415974NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY12862 (California)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. John W Bakaly 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 AddressPractice Location Address
John W Bakaly, PHD
130 S Euclid Ave Ste 8,
Pasadena, CA 91101-2472

Ph: (626) 793-6925
John W Bakaly, PHD
130 S Euclid Ave Ste 8,
Pasadena, CA 91101-2472

Ph: (626) 793-6925

Reviews and Comments


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