Mrs Rachel Kathleen Drake, PT is a medicare enrolled "Physical Therapist" provider in Combined Locks, Wisconsin. Her current practice location is
419-1 S Washington St, Combined Locks, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 423-4192.
Mrs Rachel Kathleen Drake is licensed to practice in Wisconsin (license number 5517-024) 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 1477564649.
Healthcare Provider's Profile
| Full Name | Mrs Rachel Kathleen Drake |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 419-1 S Washington St, Combined Locks, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477564649
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547225328
- Enrollment ID: I20041122000055
Medical Identifiers
Medical identifiers for Mrs Rachel Kathleen Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477564649 | NPI | - | NPPES |
| 40378800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 5517-024 (Wisconsin) | 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. Mrs Rachel Kathleen Drake allows following entities to bill medicare on her behalf.
| Provider Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172 |
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| Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423 |
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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. Mrs Rachel Kathleen 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 |
|---|
Mrs Rachel Kathleen Drake, PT
Po Box 19070,
Green Bay, WI 54307-9070
Ph: (920) 496-4700 | Mrs Rachel Kathleen Drake, PT
419-1 S Washington St,
Combined Locks, WI 54113-1049
Ph: (920) 423-4192 |
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