Theron A Draper, LCSW is a
Social Worker - Clinical based in Panguitch, Utah. Theron A Draper is licensed to practice in Utah (license number 362182-3501) and his current practice location is
3600 N 455 W, Panguitch, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 676-2041.
NPI number for Theron A Draper is 1679874580 and his current mailing address is 3600 N 455 W, Panguitch, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679874580
- Provider Enumeration Date: 11/09/2010
- Last Update Date: 04/01/2011
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 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
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 |
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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