| Dr Peter Drake, MD | |
|
483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | |
| (602) 528-1200 | |
| Not Available |
| Full Name | Dr Peter Drake |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 483 W Seed Farm Rd, Sacaton, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124655600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 04-49555 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 72985 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | DR.0071785 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Southwest Medical Center | Liberal, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innova Emergency Medical Associates Pc | 2860633435 | 59 |
| Innova Emergency Medical Associates Pc | 2860633435 | 59 |
| Entity Name | Innova Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20160525000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Drake, MD 9878 W Belleview Ave # 5114, Littleton, CO 80123-2101 Ph: (844) 466-6827 | Dr Peter Drake, MD 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 Ph: (602) 528-1200 |
Kelsey Mason Prasad, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 520-562-3321 | |
Randall Beaupre Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 483 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 844-466-6827 |