Theron A Draper, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Panguitch, Utah. His current practice location is
3600 N 455 W, Panguitch, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 676-2041.
Theron A Draper is licensed to practice in Utah (license number 362182-3501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679874580.
Healthcare Provider's Profile
Full Name | Theron A Draper |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3600 N 455 W, Panguitch, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679874580
- Provider Enumeration Date: 11/09/2010
- Last Update Date: 04/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668774381
- Enrollment ID: I20160112001160
Medical Identifiers
Medical identifiers for Theron A Draper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679874580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 362182-3501 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theron A Draper allows following entities to bill medicare on his behalf.
Entity Name | Wayne Community Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093816282 PECOS PAC ID: 1254242233 Enrollment ID: O20040113000649 |
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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. Theron A Draper 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 |
Theron A Draper, LCSW 3600 N 455 W, Panguitch, UT 84759 Ph: (435) 676-2041 | Theron A Draper, LCSW 3600 N 455 W, Panguitch, UT 84759 Ph: (435) 676-2041 |
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