Jordyn Audrey Drake, DO in Carbondale, IL - Medicare Family Medicine

Jordyn Audrey Drake, DO is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. Her current practice location is 300 W Oak St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 536-6621.

Jordyn Audrey Drake is licensed to practice in Illinois (license number 125077767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114599370.

Contact Information

	Jordyn Audrey Drake, DO
	300 W Oak St, Carbondale, IL 62901-1400
	(618) 536-6621
	Not Available

Physician's Profile

Full Name	Jordyn Audrey Drake
Gender	Female
Speciality	Family Medicine
Location	300 W Oak St, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114599370
Provider Enumeration Date: 07/15/2021
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 0244638401
Enrollment ID: I20211004000130

Medical Identifiers

Medical identifiers for Jordyn Audrey Drake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114599370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125077767 (Illinois)	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. Jordyn Audrey 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
Jordyn Audrey Drake, DO 220 S Wedgewood Ln, Carbondale, IL 62901-2148 Ph: (217) 208-9232	Jordyn Audrey Drake, DO 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 536-6621

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Family Medicine Doctors in Carbondale, IL

Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Thomas Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102
Artemus Holguin-mills, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621

Jordyn Audrey Drake, DO - Medicare Family Medicine in Carbondale, IL