Michelle Marie Drake, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Vestal, New York. Her current practice location is
1901 Vestal Pkwy E Ste 2w, Vestal, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 341-4950.
Michelle Marie Drake is licensed to practice in New York (license number F402472-01) 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 1336612522.
Physician's Profile
Full Name | Michelle Marie Drake |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1901 Vestal Pkwy E Ste 2w, Vestal, New York |
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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: 1336612522
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618380791
- Enrollment ID: I20210111000018
Medical Identifiers
Medical identifiers for Michelle Marie Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336612522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | SP019904 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP019904 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402472-01 (New York) | 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. Michelle Marie Drake allows following entities to bill medicare on her behalf.
Entity Name | Robert Packer Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083614382 PECOS PAC ID: 8022915180 Enrollment ID: O20031217000048 |
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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. Michelle Marie 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 |
Michelle Marie Drake, PMHNP 1901 Vestal Pkwy E Ste 2w, Vestal, NY 13850-1966 Ph: (607) 341-4950 | Michelle Marie Drake, PMHNP 1901 Vestal Pkwy E Ste 2w, Vestal, NY 13850-1966 Ph: (607) 341-4950 |
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