Grant Drake, DO | |
3372 E Jenalan, Post Falls, ID 83854-7787 | |
(208) 761-3080 | |
Not Available |
Full Name | Grant Drake |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 13 Years |
Location | 3372 E Jenalan, Post Falls, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083153910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | O-1469 (Idaho) | Secondary |
208D00000X | General Practice | O-1469 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Entity Name | Drake Rehabilitation Outcomes Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639749534 PECOS PAC ID: 6103229703 Enrollment ID: O20210720002256 |
Mailing Address | Practice Location Address |
---|---|
Grant Drake, DO 2656 S Harmony Ave, Boise, ID 83706-5053 Ph: (208) 761-3080 | Grant Drake, DO 3372 E Jenalan, Post Falls, ID 83854-7787 Ph: (208) 761-3080 |
Mr. Anthony D Peters, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 1220 E Polston Ave, Post Falls, ID 83854 Phone: 208-773-1577 Fax: 208-773-8585 | |
Mr. Morgan D. Ford, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1220 E Polston Ave, Post Falls, ID 83854 Phone: 208-773-1577 Fax: 208-773-8585 | |
Dr. Anthony Leonard Russo, MD General Practice Medicare: Medicare Enrolled Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2600 Fax: 208-262-2700 | |
Dr. Michael W Monohan I, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1220 E. Polston Ave, Post Falls, ID 83854 Phone: 208-773-1577 Fax: 208-773-8585 |