| Belinda T Drake, NP | |
|
474 N Highway 89, Chino Valley, AZ 86323-5993 | |
| (928) 636-5680 | |
| (928) 636-5853 |
| Full Name | Belinda T Drake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 474 N Highway 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518950195 | NPI | - | NPPES |
| AP1374 | Other | AZ | ARIZONA STATE BOARD OF NURSING |
| 710881 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13051 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP1374 (Arizona) | Primary |
| Entity Name | Yavapai Regional Medical Center Physician Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Belinda T Drake, NP Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786 | Belinda T Drake, NP 474 N Highway 89, Chino Valley, AZ 86323-5993 Ph: (928) 636-5680 |
Samareea Daquator Tesia Saunders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 S State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 | |
Dianne A Tobin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 474 N Highway 89, Chino Valley, AZ 86323 Phone: 928-636-4355 | |
Shannon Kay Jaramillo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1934 N State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 | |
Carolyn Kathan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 S State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 | |
Susan A Crane, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Heidi Ln, Chino Valley, AZ 86323 Phone: 402-203-9703 | |
Shelly Lynn Crossman, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 448 N State Route 89 Ste H, Chino Valley, AZ 86323 Phone: 928-499-2915 Fax: 877-406-3180 | |
Ms. Jessica Renee Holman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Roadrunner Ln, Chino Valley, AZ 86323 Phone: 928-848-7553 |