Gary R Draper, PA-C is a
Physician Assistant - Medical based in Everett, California. Gary R Draper is licensed to practice in Washington (license number PA10002228) and his current practice location is
3322 Broadway, Suite 200, Everett, California. He can be reached at his office (for appointments etc.) via phone at
(425) 348-6727.
NPI number for Gary R Draper is 1154404036 and his current mailing address is 200 Oceangate, Suite 100, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154404036.
Provider's Profile
| Full Name | Gary R Draper |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 3322 Broadway, Everett, California |
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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: 1154404036
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/02/2012
Medical Identifiers
Medical identifiers for Gary R Draper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154404036 | NPI | - | NPPES |
| 1036316 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA10002228 (Washington) | 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. Gary R Draper 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 |
|---|
Gary R Draper, PA-C
200 Oceangate, Suite 100,
Long Beach, CA 90802-4302
Ph: (562) 499-6191 | Gary R Draper, PA-C
3322 Broadway, Suite 200,
Everett, CA 98201-4425
Ph: (425) 348-6727 |
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