Individual ProviderDonald J PrattInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26800 Crown Valley Pkwy, Suite 325, Mission Viejo, CA 92691-6384(949) 364-6000(949) 282-1671PECOS EnrollmentThis provider is enrolled in PECOS as DONALD PRATT.Based on the most recent information from CMS, provider Donald J Pratt is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1437136660Provider TypeIndividualFull NamePratt, Donald JCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/29/2005Last Updated11/9/2021Contact InformationPractice LocationPractice Address26800 Crown Valley Pkwy, Suite 325, Mission Viejo, CA 92691-6384Phone(949) 364-6000Fax(949) 364-9561Mailing LocationMailing Address26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330Phone(949) 282-1671Fax(949) 367-0518Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG48502CaliforniaProvider IdentifiersIDDescriptionIssuerID00G485020DescriptionMedicaidIssuerUnlistedCalifornia