| Kimberly O Drakes, LNM | |
|
1131 West St, Bldg 2, Southington, CT 06489-6006 | |
| (860) 276-6800 | |
| Not Available |
| Full Name | Kimberly O Drakes |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 19 Years |
| Location | 1131 West St, Southington, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316373665 | NPI | - | NPPES |
| 000285 | Other | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 000285 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
| Physicians For Women's Health, Llc | 3274430665 | 293 |
| Entity Name | Planned Parenthood Of Southern New England Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174633143 PECOS PAC ID: 3173436730 Enrollment ID: O20031110000416 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Physicians For Women's Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
| Entity Name | Wheeler Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly O Drakes, LNM 1131 West St, Bldg 2, Southington, CT 06489-6006 Ph: (860) 276-6800 | Kimberly O Drakes, LNM 1131 West St, Bldg 2, Southington, CT 06489-6006 Ph: (860) 276-6800 |
Michelle Plyler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1131 West St, Bldg 2, Southington, CT 06489 Phone: 860-276-6800 Fax: 860-276-6801 |