Virginia Watterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. Her current practice location is
305 E Jefferson St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 345-0715.
Virginia Watterson is licensed to practice in Idaho (license number LCSW43511) 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 1346586930.
Healthcare Provider's Profile
| Full Name | Virginia Watterson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 305 E Jefferson St, Boise, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346586930
- Provider Enumeration Date: 12/31/2012
- Last Update Date: 12/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870940901
- Enrollment ID: I20231113000266
Medical Identifiers
Medical identifiers for Virginia Watterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346586930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW43511 (Idaho) | 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. Virginia Watterson allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic-treasure Valley LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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. Virginia Watterson 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 |
|---|
Virginia Watterson, LCSW
190 E Bannock St,
Boise, ID 83712-6241
Ph: Not Available | Virginia Watterson, LCSW
305 E Jefferson St,
Boise, ID 83712-6231
Ph: (208) 345-0715 |
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