Shepherd Lee Drayton Iii, MD is a medicare enrolled "Family Medicine" physician in Blythewood, South Carolina. His current practice location is
230 Redhawk Way Ste 200, Blythewood, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 419-4949.
Shepherd Lee Drayton Iii is licensed to practice in South Carolina (license number 904561) 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 1992496137.
Physician's Profile
| Full Name | Shepherd Lee Drayton Iii |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 230 Redhawk Way Ste 200, Blythewood, South Carolina |
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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: 1992496137
- Provider Enumeration Date: 05/18/2023
- Last Update Date: 07/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628439510
- Enrollment ID: I20230725000611
Medical Identifiers
Medical identifiers for Shepherd Lee Drayton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992496137 | NPI | - | NPPES |
| 904561 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 904561 (South Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Shepherd Lee Drayton Iii 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 |
Shepherd Lee Drayton Iii, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 419-4949 | Shepherd Lee Drayton Iii, MD 230 Redhawk Way Ste 200, Blythewood, SC 29016-9286 Ph: (803) 419-4949 |
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