Dr Dean Warren Drake, DMD is a medicare enrolled "Dentist - General Practice" provider in Fairview Hts, Illinois. His current practice location is
10200 Old Lincoln Trl, Fairview Hts, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 398-6969.
Dr Dean Warren Drake is licensed to practice in Illinois (license number ) 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 1134251291.
Healthcare Provider's Profile
Full Name | Dr Dean Warren Drake |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 10200 Old Lincoln Trl, Fairview Hts, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134251291
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709180375
- Enrollment ID: I20160203000103
Medical Identifiers
Medical identifiers for Dr Dean Warren Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134251291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | 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. Dr Dean Warren 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 Address | Practice Location Address |
Dr Dean Warren Drake, DMD 10200 Old Lincoln Trl, Fairview Hts, IL 62208-2454 Ph: (618) 398-6969 | Dr Dean Warren Drake, DMD 10200 Old Lincoln Trl, Fairview Hts, IL 62208-2454 Ph: (618) 398-6969 |
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