Individual ProviderDavid W DraperAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589(518) 374-3123PECOS EnrollmentThis provider is enrolled in PECOS as DAVID DRAPER.Based on the most recent information from CMS, provider David W Draper is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457352494Provider TypeIndividualFull NameDraper, David WTitleDr.CredentialM.D.GenderMaleEnumeration Date8/1/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589Phone(518) 374-3123Fax(518) 374-9711Mailing LocationMailing Address1201 Nott St, Suite 106, Schenectady, NY 12308-2589Phone(518) 374-3123Fax(518) 374-9711Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense182317-1New YorkProvider IdentifiersIDDescriptionIssuerID040426006655DescriptionOtherIssuerFIDELISIDDD000A3420DescriptionOtherIssuerEMPIRE BLUE CROSSIDCAN1823178DescriptionOtherIssuerNO FAULTIDDD000A3410DescriptionOtherIssuerEMPIRE BLUE CROSSID000405069002DescriptionOtherIssuerBLUE SHIELD NENYID182317-1DescriptionOtherIssuerTRICARE NORTH REGIONID00A34DescriptionOtherIssuerEMPIRE BLUE CROSSID01196845DescriptionMedicaidIssuerUnlistedNew YorkID05141DescriptionOtherIssuerMVPIDCAN1823178DescriptionOtherIssuerWORKERS COMPID000405069003DescriptionOtherIssuerBLUE SHIELD NENYID10000521DescriptionOtherIssuerCDPHP