Draper Dermatology PC

PAC ID

4688928526The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

UT, WY

Enrollments

2

Group size

6 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Draper Dermatology, P.C.

  • Dermatology Physician
  • South Jordan, UT
  • NPI 1093224818
• Draper Dermatology, P.C.

  • Dermatology Physician
  • Evanston, WY
  • NPI 1942832159

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).

• Heather B Allred, PA-C

  • Physician Assistant
  • Providence, UT
  • NPI 1104859149
• Cory B Maughan, D.O.

  • MOHS-Micrographic Surgery Physician
  • Providence, UT
  • NPI 1598086720
• Paige Nelson, PA-C

  • Physician Assistant
  • South Jordan, UT
  • NPI 1649821281
• Barbara Joelle Overby, DMSC, PA-C

  • Medical Physician Assistant
  • South Jordan, UT
  • NPI 1356963771
• Phillip Robert Rutledge, PA

  • Physician Assistant
  • Kemmerer, WY
  • NPI 1619592953
• Larry E Urry, M.D.

  • Dermatology Physician
  • South Jordan, UT
  • NPI 1083716955

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.