Mallori Watson, DMD in Granbury, TX - Medicare Dentist Provider

Mallori Watson, DMD is a medicare enrolled "Dentist" provider in Granbury, Texas. Her current practice location is 3412 E Us Highway 377, Granbury, Texas. You can reach out to her office (for appointments etc.) via phone at (601) 466-6933.

Mallori Watson is licensed to practice in Texas (license number 41208) 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 1417268038.

Contact Information

	Mallori Watson, DMD
	3412 E Us Highway 377, Granbury, TX 76049-7418
	(601) 466-6933
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallori Watson
Gender	Female
Speciality	Dentist
Location	3412 E Us Highway 377, Granbury, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417268038
Provider Enumeration Date: 06/29/2010
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8820216955
Enrollment ID: I20230330001088

Medical Identifiers

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

Identifier	Type	State	Issuer
1417268038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	056505 (New York)	Secondary
122300000X	Dentist	9222 (North Carolina)	Secondary
122300000X	Dentist	41208 (Texas)	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. Mallori Watson allows following entities to bill medicare on her behalf.

Entity Name	Charlotte Community Health Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528363868 PECOS PAC ID: 0840502274 Enrollment ID: O20150626001703

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. Mallori 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
Mallori Watson, DMD 3412 E Us Highway 377, Granbury, TX 76049-7418 Ph: () -	Mallori Watson, DMD 3412 E Us Highway 377, Granbury, TX 76049-7418 Ph: (601) 466-6933

Reviews and Comments

Dentist in Granbury, TX

Kirankumar Hegde, Dentist Medicare: Not Enrolled in Medicare Practice Location: 708 Paluxy Rd, Suite B, Granbury, TX 76048 Phone: 817-573-4600
Julie Tuel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1206 Water's Edge Dr, Granbury, TX 76048 Phone: 817-573-2622
Dr. Thomas D Hamilton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 W Bluff St, Granbury, TX 76048 Phone: 817-573-2652 Fax: 271-279-7116
Dr. Cynthia Malecki Knight, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3412 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-3761 Fax: 817-573-3764
Dr. David Purczinsky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1116 N Meadows Dr, Granbury, TX 76048 Phone: 817-573-4711 Fax: 817-573-1592
Dr. Katrina L Mcfadden, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5600 N Gate Rd Ste 103, Granbury, TX 76049 Phone: 817-326-5717 Fax: 817-326-5714
Dr. Gary Neal Barron, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 E Highway 377, Suite 109, Granbury, TX 76048 Phone: 817-573-7377 Fax: 817-573-7851

Mallori Watson, DMD - Medicare Dentist in Granbury, TX