Dr David J Drake, MD | |
49165 Road 426, Oakhurst, CA 93644-8621 | |
(559) 664-4000 | |
(559) 675-5224 |
Full Name | Dr David J Drake |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 49165 Road 426, Oakhurst, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205941481 | NPI | - | NPPES |
40447-20 | Other | WI | LICENSE |
1205941481 | Medicaid | WI | |
C166230 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40447 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | C166230 (California) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Dr David J Drake, MD 344 E 6th St, Madera, CA 93638-3631 Ph: (559) 664-4000 | Dr David J Drake, MD 49165 Road 426, Oakhurst, CA 93644-8621 Ph: (559) 664-4000 |
Ho Q. Bui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 40597 Westlake Dr, Oakhurst, CA 93644 Phone: 559-683-5300 | |
Jeffrey J Barigian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40232 Junction Drive, Oakhurst, CA 93644 Phone: 559-658-6420 Fax: 559-658-6460 | |
Daniel Joseph O'meara, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 48677 Victoria Ln, Oakhurst, CA 93644 Phone: 559-683-6331 | |
Dr. Fellipe Lima Nobre De Queiroz, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 40595 Westlake Dr, Oakhurst, CA 93644 Phone: 559-658-8388 | |
Joshua David Hesson, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49169 Road 426, Oakhurst, CA 93644 Phone: 559-642-6724 Fax: 559-664-4175 | |
Paul Damion Casner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40232 Junction Dr, Oakhurst, CA 93644 Phone: 559-658-6420 Fax: 559-658-6460 |