Leanna Drake, FNP-C is a medicare enrolled "Family Medicine" physician in Mayer, Arizona. Her current practice location is
20172 E Stagecoach Trl, Mayer, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 632-4399.
Leanna Drake is licensed to practice in Arizona (license number 284734) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861103871.
Physician's Profile
Full Name | Leanna Drake |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 20172 E Stagecoach Trl, Mayer, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861103871
- Provider Enumeration Date: 12/09/2022
- Last Update Date: 12/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375917131
- Enrollment ID: I20230316002785
Medical Identifiers
Medical identifiers for Leanna Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861103871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 284734 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leanna Drake allows following entities to bill medicare on her behalf.
Entity Name | Copper Canyon Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376816918 PECOS PAC ID: 1759543705 Enrollment ID: O20120508000717 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leanna Drake is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leanna Drake, FNP-C 20172 E Stagecoach Trl, Mayer, AZ 86333-2357 Ph: (928) 632-4399 | Leanna Drake, FNP-C 20172 E Stagecoach Trl, Mayer, AZ 86333-2357 Ph: (928) 632-4399 |
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