Nicholas Drake, LICSW - Medicare Clinical Social Worker in Kingston, WA

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Nicholas Drake, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Kingston, Washington. His current practice location is 27475 Gamble Bay Rd Ne, Kingston, Washington. You can reach out to his office (for appointments etc.) via phone at (517) 410-7430.

Nicholas Drake is licensed to practice in Washington (license number 61196656) 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 1417349176.

Contact Information

Nicholas Drake, LICSW
27475 Gamble Bay Rd Ne,
Kingston, WA 98346-9539
(517) 410-7430
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicholas Drake
GenderMale
SpecialitySocial Worker - Clinical
Location27475 Gamble Bay Rd Ne, Kingston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417349176
  • Provider Enumeration Date: 03/04/2015
  • Last Update Date: 09/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476095969
  • Enrollment ID: I20240612001948

Medical Identifiers

Medical identifiers for Nicholas Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417349176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6802088156 (Michigan)Secondary
1041C0700XSocial Worker - Clinical 61196656 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Drake allows following entities to bill medicare on his behalf.
Entity NamePeninsula Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982654182
PECOS PAC ID: 9436044781
Enrollment ID: O20040217000362

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. Nicholas Drake 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
Nicholas Drake, LICSW
27475 Gamble Bay Rd Ne,
Kingston, WA 98346-9539

Ph: (517) 410-7430		Nicholas Drake, LICSW
27475 Gamble Bay Rd Ne,
Kingston, WA 98346-9539

Ph: (517) 410-7430

Reviews and Comments


Social Worker in Kingston, WA

Ruby Elizabeth Roberts, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9566 Ne Shipping Ln, Kingston, WA 98346
Phone: 360-620-5314    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.