| Fred Duane Drake, MD | |
|
1429 N 6th St, Terre Haute, IN 47807-1037 | |
| (812) 242-3170 | |
| (812) 235-3330 |
| Full Name | Fred Duane Drake |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1429 N 6th St, Terre Haute, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124135967 | NPI | - | NPPES |
| 0182870 | Other | US DEPT OF LABOR | |
| 100250540 | Medicaid | IN | |
| 000000089620 | Other | ANTHEM | |
| 040004682 | Other | RAILROAD MCARE PALAMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 01024937A (Indiana) | Primary |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Duane Drake, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3170 | Fred Duane Drake, MD 1429 N 6th St, Terre Haute, IN 47807-1037 Ph: (812) 242-3170 |
Dr. Barry A Long, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4601 S 7th St, Terre Haute, IN 47802 Phone: 812-232-6673 Fax: 812-232-1519 | |
Curtis Seitz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3170 Fax: 812-235-3330 | |
Martin H Roseff, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1429 N 6th St, Terre Haute, IN 47807 Phone: 812-242-3170 Fax: 812-235-3330 |