Tenille Draper, is a medicare enrolled "Physician Assistant" in Upper Darby, Pennsylvania. Her current practice location is
600 Andover Rd, Upper Darby, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 251-7368.
Tenille Draper is licensed to practice in * (Not Available) (license number ) 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 1912690561.
Provider's Profile
Full Name | Tenille Draper |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 600 Andover Rd, Upper Darby, Pennsylvania |
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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: 1912690561
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355883745
- Enrollment ID: I20240613001239
Medical Identifiers
Medical identifiers for Tenille Draper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912690561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Tenille 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 |
Tenille Draper, 600 Andover Rd, Upper Darby, PA 19082-5204 Ph: () - | Tenille Draper, 600 Andover Rd, Upper Darby, PA 19082-5204 Ph: (215) 251-7368 |
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