| David E Drake, DO | |
|
52 Village Dr, Pagosa Springs, CO 81147-8368 | |
| (970) 264-2104 | |
| (970) 264-2108 |
| Full Name | David E Drake |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 52 Village Dr, Pagosa Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245299395 | NPI | - | NPPES |
| 1154481273 | Medicaid | IA | |
| 1154481273 | Other | IA | WELLMARK BCBS |
| 2121004 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 02908 (Iowa) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0054066 (Colorado) | Primary |
| Entity Name | Des Moines Pastoral Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574786 PECOS PAC ID: 0749272649 Enrollment ID: O20040331001405 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Drake, DO 185 Suttle St, Durango, CO 81303-8276 Ph: (970) 335-2232 | David E Drake, DO 52 Village Dr, Pagosa Springs, CO 81147-8368 Ph: (970) 264-2104 |
Mrs. Laura Marcu Buck, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 95 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-731-3700 Fax: 970-731-0511 | |
Dr. James Lyle Knoll Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2295 Backcountry Dr., Pagosa Springs, CO 81147 Phone: 970-731-4262 Fax: 970-731-4262 |