Peter L Drake, is a medicare enrolled "Counselor - Mental Health" provider in North Stonington, Connecticut. His current practice location is
147 Hangman Hill Rd, North Stonington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
() -.
Peter L Drake is licensed to practice in Connecticut (license number 4210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528689171.
Healthcare Provider's Profile
Full Name | Peter L Drake |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 147 Hangman Hill Rd, North Stonington, Connecticut |
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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: 1528689171
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 05/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406377852
- Enrollment ID: I20250303000642
Medical Identifiers
Medical identifiers for Peter L Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528689171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4210 (Connecticut) | 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. Peter L Drake allows following entities to bill medicare on his behalf.
Entity Name | Mind Body Rise |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003481755 PECOS PAC ID: 6800292343 Enrollment ID: O20210908001574 |
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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. Peter L 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 |
Peter L Drake, 147 Hangman Hill Rd, North Stonington, CT 06359-1307 Ph: (860) 884-3744 | Peter L Drake, 147 Hangman Hill Rd, North Stonington, CT 06359-1307 Ph: () - |
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