Debra Joyce Panke, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

35006890P Issued in OH

Practice address

741 Scholl Rd
Mansfield, OH 44907-1571

Phone

(419) 774-6872

Fax

(419) 774-6882

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Midwestern University, Chicago College of Osteopathic Med, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Individual and Family Services, Inc.Group PAC ID 9133102544, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Individual and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, OH
  • NPI 1487669222
  Medicare reassignment Care Compare group NPD
• The Center for Individual & Family Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
  • NPI 1568722171
  NPD
• The Center for Individual & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Mansfield, OH
  • NPI 1174122188
  NPD (past)
• The Center for Individual and Family Services

  • Community/Behavioral Health Agency
  • Mansfield, OH
  • NPI 1295074821
  NPD (past)
• The Center for Individual and Family Services

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
  • NPI 1356372593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1548393531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 KIMBERWICK CT",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049425",
            "telephone_number": "419-774-6872",
            "fax_number": "419-774-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-774-6872",
            "fax_number": "419-774-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKE",
        "first_name": "DEBRA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35006890P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "35006890",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamer Chiropractic Life West LTD
• David Charles Pamer, D.C.
• Jenny Nicole Pamer, D.C.
• Mathias George Pamer, D.C.
• Thomas Long Pamer, D.C.
• Julian Kash Papania
• Michele H Pappas, RD, LD
• Joseph J Parence
• Park Ave Therapy and Rehab, Inc.
• Andrew John Park, M.D.

• Child & Adolescent Psychiatry Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.