| Mary R Drake, OT | |
|
119 Gannett Dr, South Portland, ME 04106-6942 | |
| (207) 773-0040 | |
| (207) 661-8030 |
| Full Name | Mary R Drake |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 119 Gannett Dr, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518038645 | NPI | - | NPPES |
| OT3937 | Other | ME | OCCUPATIONAL THERAPY LICENSE |
| Provider Name | Maine Medical Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396 |
| Provider Name | Mainehealth |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary R Drake, OT 119 Gannett Dr, South Portland, ME 04106-6942 Ph: (207) 773-0040 | Mary R Drake, OT 119 Gannett Dr, South Portland, ME 04106-6942 Ph: (207) 773-0040 |
Dustin Blackington, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Adrienne Toof, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Gannett Dr, South Portland, ME 04106 Phone: 207-773-0040 | |
Erin Masterson, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 483 Ocean St, South Portland, ME 04106 Phone: 207-233-0976 | |
Patrick Boscherini, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Minott St Apt A7, South Portland, ME 04106 Phone: 207-712-1481 | |
Mr. Neal Hannon Drew, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-871-0555 | |
Mr. Cory Breidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Margaret St Apt D, South Portland, ME 04106 Phone: 908-752-7712 | |
Kathryn Twombly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Winding Way, South Portland, ME 04106 Phone: 207-408-1110 |