Mr Jack B Waters, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint George, Utah. His current practice location is
2365 E Segovia Dr, Saint George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 773-5585.
Mr Jack B Waters is licensed to practice in Oregon (license number 201160004CRNA) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407152358.
Provider's Profile
Full Name | Mr Jack B Waters |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2365 E Segovia Dr, Saint George, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Jack B Waters attended and graduated from in
NPI Data:
- NPI Number: 1407152358
- Provider Enumeration Date: 02/09/2011
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jack B Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407152358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 201160004CRNA (Oregon) | 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. Mr Jack B Waters 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 |
Mr Jack B Waters, CRNA 2365 E Segovia Dr, Saint George, UT 84790-7487 Ph: (435) 773-5585 | Mr Jack B Waters, CRNA 2365 E Segovia Dr, Saint George, UT 84790-7487 Ph: (435) 773-5585 |
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