David Gordon Drake, MD | |
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 | |
(651) 292-2000 | |
(651) 292-2204 |
Full Name | David Gordon Drake |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 2355 Highway 36 W Ste 100, Roseville, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528046612 | NPI | - | NPPES |
199387900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 30429 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gillette Childrens Specialty Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Radiology Pa | 4486568482 | 196 |
Midwest Radiology Pa | 4486568482 | 196 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
Entity Name | Midwest Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952307175 PECOS PAC ID: 4486568482 Enrollment ID: O20031114000105 |
Entity Name | Midwest Radiology Outpatient Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720059264 PECOS PAC ID: 3870495591 Enrollment ID: O20040123000119 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Suburban Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427008937 PECOS PAC ID: 4688564867 Enrollment ID: O20040319000599 |
Entity Name | Lac Qui Parle Clinic Of Madison Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20111020000173 |
Entity Name | Pembina County Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417093949 PECOS PAC ID: 4789643719 Enrollment ID: O20120921000536 |
Entity Name | Shriners Hospitals For Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285250977 PECOS PAC ID: 9133031933 Enrollment ID: O20140606000217 |
Entity Name | Towner County Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124041389 PECOS PAC ID: 6800798497 Enrollment ID: O20160111001169 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
David Gordon Drake, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | David Gordon Drake, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |