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Drake Christian Dehoff

Hospitalist

Allopathic & Osteopathic Physicians

450 Northside Cherokee Blvd, Canton, GA 30115-8015

PECOS Enrollment

This provider is enrolled in PECOS as DRAKE DEHOFF.

Based on the most recent information from CMS, provider Drake Christian Dehoff is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1053871772
Provider Type
Individual
Full Name
Dehoff, Drake Christian
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/20/2019
Last Updated
8/31/2022

Contact Information

Practice Location

450 Northside Cherokee Blvd, Canton, GA 30115-8015

(770) 224-1000

Unlisted Fax

Mailing Location

450 Northside Cherokee Blvd, Canton, GA 30115-8015

(859) 323-9918

(859) 323-1197

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 92951 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Drake Christian Dehoff

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Cardillo, Douglas M

Khot, Khandurao Bhanudas

Mancheno, Rodrigo M

Myers, Joshua Paul

Taylor, Michelle

Martin, Todd C

Hammond, Sara

Cochol, Janine Elizabeth

Brown, Lynette

Liu, David