Jaclyn G Pak, DDS, MS - Medicare Dentist in Susanville, CA

Jaclyn G Pak, DDS, MS is a medicare enrolled "Dentist - General Practice" provider in Susanville, California. Her current practice location is 1850 Spring Ridge Dr, Susanville, California. You can reach out to her office (for appointments etc.) via phone at (530) 251-5000.

Jaclyn G Pak is licensed to practice in California (license number 62615) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427312099.

Contact Information

Jaclyn G Pak, DDS, MS
1850 Spring Ridge Dr,
Susanville, CA 96130-6100
(530) 251-5000
Not Available



Healthcare Provider's Profile

Full NameJaclyn G Pak
GenderFemale
SpecialityDentist - General Practice
Location1850 Spring Ridge Dr, Susanville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427312099
  • Provider Enumeration Date: 06/28/2012
  • Last Update Date: 12/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476854951
  • Enrollment ID: I20160804000780

Medical Identifiers

Medical identifiers for Jaclyn G Pak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427312099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 62615 (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. Jaclyn G Pak 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
Jaclyn G Pak, DDS, MS
1850 Spring Ridge Dr,
Susanville, CA 96130-6100

Ph: (530) 251-5000
Jaclyn G Pak, DDS, MS
1850 Spring Ridge Dr,
Susanville, CA 96130-6100

Ph: (530) 251-5000

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› Verified 7 days ago


Dentist in Susanville, CA

Dr. Floyd D Hansen, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 475-750 Rice Canyon Road, Susanville, CA 96130
Phone: 530-251-5100    
Dr. Clifford G Lewis, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 475-750 Rice Canyon Rd, Susanville, CA 96130
Phone: 530-251-5100    
Dr. James Weger Hodge, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 720 Ash St, Susanville, CA 96130
Phone: 530-257-7256    Fax: 530-257-3546
Ross Hudson Northrop, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1801 1st St, Susanville, CA 96130
Phone: 530-257-9099    Fax: 530-257-2391
Taylor Vixie,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Johnstonville Rd, Susanville, CA 96130
Phone: 530-257-2395    Fax: 530-257-6914
Dr. Istvan Felker, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1850 Spring Ridge Dr, Northeastern Rural Health Center Suite H, Susanville, CA 96130
Phone: 530-251-5000    
Dr. Raymond E. White, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 720 Ash St, Susanville, CA 96130
Phone: 530-257-7256    Fax: 530-257-3546

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