Jennifer Lynn Drake (NPI# 1124044722, PAC ID# 2567363294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124044722 |
| PAC ID by PECOS | 2567363294 |
| Professional Enrollment ID | I20190318000706 |
| Full Name | Jennifer Lynn Drake |
| Organization Legal Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Address |
940 W Pinon St Farmington NM 87401-5905 |
| Phone Number | 5056096349 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587559505 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4820 E Main St, Farmington, NM 87402-8660 | 5056096495 | SAN JUAN REGIONAL MEDICAL CENTER INC |
| 4820 E Main St, 2 Sjrmc Wound Treatment Center, Farmington, NM 87402-8660 | 5056096610 | SAN JUAN REGIONAL MEDICAL CENTER INC |
| 940 W Pinon St, Farmington, NM 87401-5905 | 5056096349 | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Physicians | 135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Mannas | Urology | San Juan Regional Medical Center Inc | 2700 Farmington Ave Bldg, E1 Sjrmc Urology, Farmington, NM 87401-4550 |
| Laura Waymire | Neurology | San Juan Regional Medical Center Inc | 407 S Schwartz Ave, 101 Sjrmc Neuroscience and Spine, Farmington, NM 87401-5925 |
| Charles E Page | Emergency Medicine | San Juan Regional Medical Center Inc | 801 W Maple St, Sjrmc Er Physicians, Farmington, NM 87401-5630 |
| Bronwyn Kathleen Radcliffe | Nurse Practitioner | San Juan Regional Medical Center Inc | 100 N Church St C, Bloomfield, NM 87413-5754 |
| Rachel K Chaney | Cardiovascular Disease (cardiology) | San Juan Regional Medical Center Inc | 1485 Florida Rd, Suite 103a, Durango, CO 81301-6873 |
| Ariadna Sadzine-bessinger | Psychiatry | San Juan Regional Medical Center Inc | 555 S Schwartz Ave, Behavioral Health Services, Farmington, NM 87401-5955 |
| Jonathan D Kelly | Physician Assistant | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
| Dwayne L Gibbs | General Surgery | San Juan Regional Medical Center Inc | 630 W Maple St, Sjrmc General Surgeons, Farmington, NM 87401-6113 |
| William F Palko Schraa | Family Medicine | San Juan Regional Medical Center Inc | 4820 E Main St, Farmington, NM 87402-8660 |
| Erin Kealey Philpott | Internal Medicine | San Juan Regional Medical Center Inc | 801 W Maple St, Farmington, NM 87401-5630 |
| Street Address |
940 W PINON ST |
| City | FARMINGTON |
| State | NM |
| Zip | 87401-5905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Bowen | Gastroenterology | San Juan Regional Medical Center Inc | 940 W Pinon St, Farmington, NM 87401-5905 |
| Francisco Colon | Gastroenterology | San Juan Regional Medical Center Inc | 940 W Pinon St, Farmington, NM 87401-5905 |
| Abdo Saad | Gastroenterology | San Juan Regional Medical Center Inc | 940 W Pinon St, Farmington, NM 87401-5905 |
| Patrick O Olise | Physician Assistant | San Juan Regional Medical Center Inc | 940 W Pinon St, Farmington, NM 87401-5905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Dorner | Podiatry | Family Foot Health Specialists, P.C. | 4801 N Butler, Suite 14102, Farmington, NM 87401-0815 |
| Edmund W Mcnally | Physician Assistant | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Swayzee Lei Ramage | Nurse Practitioner | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Erica L Sussex-grant | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Randall M Sussex | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Allen W Mcculloch | Urology | 2300 E, 30th Bldg B Suite 106, Farmington, NM 87401-1529 | |
| James F Burpee | Urology | Adult and Pediatric Urology, LLC | 2300 E, Farmington, NM 87401-1529 |
| Brenna Camille Price | Speech Language Pathologist | 3001 Northridge Dr, Suite C., Farmington, NM 87401-2084 | |
| Mark A Braunstein | Psychiatry | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Eva Jean Morales | Clinical Social Worker | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Find all physicians in zip 87401 | |||
| City | FARMINGTON |
| Zip Code | 87401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Lynn Drake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.