Demetruis Renee Watson, in Lexington, KY - Medicare Social Worker Provider

Demetruis Renee Watson, is a medicare enrolled "Social Worker - Clinical" provider in Lexington, Kentucky. Her current practice location is 1412 N Broadway Ste 204, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 412-1445.

Demetruis Renee Watson is licensed to practice in Kentucky (license number 258957) 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 1013252071.

Contact Information

	Demetruis Renee Watson,
	1412 N Broadway Ste 204, Lexington, KY 40505-3157
	(859) 412-1445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Demetruis Renee Watson
Gender	Female
Speciality	Social Worker - Clinical
Location	1412 N Broadway Ste 204, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013252071
Provider Enumeration Date: 12/03/2012
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0244771319
Enrollment ID: I20240917003751

Medical Identifiers

Medical identifiers for Demetruis Renee Watson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013252071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P006989 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	258957 (Kentucky)	Primary

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. Demetruis Renee Watson allows following entities to bill medicare on her behalf.

Entity Name	Northern Kentucky Mental Health Mental Retardation Regional Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578527610 PECOS PAC ID: 3870584683 Enrollment ID: O20040520000973

Entity Name	Victory House Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033898853 PECOS PAC ID: 4082078696 Enrollment ID: O20230915001036

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. Demetruis Renee 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 Address	Practice Location Address
Demetruis Renee Watson, 3507 Lynhaven Dr, Greensboro, NC 27406-7105 Ph: () -	Demetruis Renee Watson, 1412 N Broadway Ste 204, Lexington, KY 40505-3157 Ph: (859) 412-1445

Reviews and Comments

Social Worker in Lexington, KY

Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939

Demetruis Renee Watson, - Medicare Clinical Social Worker in Lexington, KY