Fred Duane Drake, MD | |
1429 N 6th St, Terre Haute, IN 47807-1037 | |
(812) 242-3170 | |
(812) 235-3330 |
Full Name | Fred Duane Drake |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1429 N 6th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124135967 | NPI | - | NPPES |
0182870 | Other | US DEPT OF LABOR | |
100250540 | Medicaid | IN | |
000000089620 | Other | ANTHEM | |
040004682 | Other | RAILROAD MCARE PALAMETTO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01024937A (Indiana) | Primary |
Entity Name | Union Associated Physicians Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
Mailing Address | Practice Location Address |
---|---|
Fred Duane Drake, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3170 | Fred Duane Drake, MD 1429 N 6th St, Terre Haute, IN 47807-1037 Ph: (812) 242-3170 |
Dr. Barry A Long, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4601 S 7th St, Terre Haute, IN 47802 Phone: 812-232-6673 Fax: 812-232-1519 | |
Curtis Seitz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3170 Fax: 812-235-3330 | |
Martin H Roseff, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3170 Fax: 812-235-3330 |