Jonathan P Drake, MD | |
295 Varnum Ave, Department Of Emergency Medicine, Lowell, MA 01854-2134 | |
(978) 937-6161 | |
Not Available |
Full Name | Jonathan P Drake |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 295 Varnum Ave, Lowell, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861451551 | NPI | - | NPPES |
J42555 | Other | MA | BLUE SHIELD |
2143445 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 223799 (Massachusetts) | Primary |
Entity Name | Merrimack Valley Emergency Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821280959 PECOS PAC ID: 2062508377 Enrollment ID: O20071018000235 |
Mailing Address | Practice Location Address |
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Jonathan P Drake, MD 34 Swallow Ln, Dunstable, MA 01827-1206 Ph: (978) 649-6871 | Jonathan P Drake, MD 295 Varnum Ave, Department Of Emergency Medicine, Lowell, MA 01854-2134 Ph: (978) 937-6161 |
Dr. Tina Bramante, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6000 | |
Susan Dowd Brough, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6161 | |
Derek Dean Wayman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Emergency Department, Lowell, MA 01854 Phone: 978-937-6000 | |
Kimberly Harter Morton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 781-937-4545 | |
David Lezberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1230 Bridge St, Lowell, MA 01850 Phone: 978-459-2273 | |
Dr. Alexander S Brough, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Varnum Ave, Lowell General Hospital, Lowell, MA 01854 Phone: 978-937-6000 | |
Sean M. Mosharo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-937-6161 |