Michelle Marie Drake, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Vestal, New York. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jacqueline Ponticiello Psychiatric Np, Pllc and her current practice location is
1901 Vestal Pkwy E Ste 2w, Vestal, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 341-4950.
Michelle Marie Drake is licensed to practice in New York (license number F402472-01) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336612522.
Physician's Profile
| Full Name | Michelle Marie Drake |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1901 Vestal Pkwy E Ste 2w, Vestal, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Marie Drake graduated from medical school in 2021
NPI Data:
- NPI Number: 1336612522
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618380791
- Enrollment ID: I20250114001931
Medical Identifiers
Medical identifiers for Michelle Marie Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336612522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | SP019904 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP019904 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402472-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jacqueline Ponticiello Psychiatric Np, Pllc | 2567990567 | 7 |
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. Michelle Marie Drake allows following entities to bill medicare on her behalf.
| Entity Name | Jacqueline Ponticiello Psychiatric Np, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487101226
PECOS PAC ID: 2567990567
Enrollment ID: O20250103001495 |
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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. Michelle Marie 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 |
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Michelle Marie Drake, PMHNP
1901 Vestal Pkwy E Ste 2w,
Vestal, NY 13850-1966
Ph: (607) 341-4950 | Michelle Marie Drake, PMHNP
1901 Vestal Pkwy E Ste 2w,
Vestal, NY 13850-1966
Ph: (607) 341-4950 |
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