Kathryn S Watson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Kathryn S Watson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. Her current practice location is 5734 Coventry Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-7875.

Kathryn S Watson is licensed to practice in Indiana (license number 28145281A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417031733.

Contact Information

Kathryn S Watson, CRNA
5734 Coventry Ln,
Fort Wayne, IN 46804-7141
(260) 436-7875
Not Available

Map and Direction




Provider's Profile

Full NameKathryn S Watson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location5734 Coventry Ln, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417031733
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 01/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799723474
  • Enrollment ID: I20050422000342

Medical Identifiers

Medical identifiers for Kathryn S Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417031733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 160617 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered 28145281A (Indiana)Primary
367500000XNurse Anesthetist, Certified Registered NA-03760 (Ohio)Secondary

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. Kathryn S Watson allows following entities to bill medicare on her behalf.
Entity NamePromedica Central Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226
Entity NameCommunity Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730145392
PECOS PAC ID: 0547258907
Enrollment ID: O20040504000912
Entity NameMarion Pain Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326360082
PECOS PAC ID: 8224166996
Enrollment ID: O20100517000892
Entity NameNorthstar Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005

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. Kathryn S Watson 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
Kathryn S Watson, CRNA
5052 N Clinton St,
Fort Wayne, IN 46825-5822

Ph: (260) 408-2203
Kathryn S Watson, CRNA
5734 Coventry Ln,
Fort Wayne, IN 46804-7141

Ph: (260) 436-7875

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    
Lisa A Tompa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    Fax: 260-482-5060
Nicole Borem Schickel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Benjamin Wisenbaker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Blair John Walker, RN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-416-3000    
Lisa Osborne, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    
Thomas George Merkler, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804
Phone: 260-436-7875    Fax: 260-432-9812

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.