Steven P Drake, OD is a
Optometrist based in Gillett, Wisconsin. Steven P Drake is licensed to practice in Wisconsin (license number 1375) and his current practice location is
130 E Main St, Gillett, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 855-2117.
NPI number for Steven P Drake is 1811993462 and his current mailing address is Po Box 620, Gillett, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811993462.
Healthcare Provider's Profile
| Full Name | Steven P Drake |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 130 E Main St, Gillett, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811993462
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 09/30/2013
Medical Identifiers
Medical identifiers for Steven P Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811993462 | NPI | - | NPPES |
| 38564000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1375 (Wisconsin) | Primary |
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. Steven P Drake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Steven P Drake, OD
Po Box 620,
Gillett, WI 54124-0620
Ph: (920) 855-2117 | Steven P Drake, OD
130 E Main St,
Gillett, WI 54124-9386
Ph: (920) 855-2117 |
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