Theron A Draper, LCSW - Medicare Clinical Social Worker in Panguitch, UT

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.

Contact Information

Theron A Draper, LCSW
3600 N 455 W,
Panguitch, UT 84759
(435) 676-2041
Not Available



Healthcare Provider's Profile

Full NameTheron A Draper
GenderMale
SpecialitySocial Worker - Clinical
Location3600 N 455 W, Panguitch, Utah
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1679874580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial 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 NameWayne Community Health Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Social Worker in Panguitch, UT

Mr. Alec Reynolds, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 601 E Center St, Panguitch, UT 84759
Phone: 435-676-8176    Fax: 435-676-2615

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