Dr Kenneth W Waters, MD is a medicare enrolled "Anesthesiology" physician in Mclean, Virginia. He went to University Of Vermont College Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Inova Cares - Community, Inova Cares - Community and his current practice location is
Kaiser Permanente Tysons Corner Medical Center, 8008 Westpark Drive, Mclean, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 489-1405.
Dr Kenneth W Waters is licensed to practice in Virginia (license number 0101252186) 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 1811065584.
Physician's Profile
| Full Name | Dr Kenneth W Waters |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 22 Years |
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| Location | Kaiser Permanente Tysons Corner Medical Center, Mclean, Virginia |
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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. |
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Medical Education and Training:
- Dr Kenneth W Waters attended and graduated from University Of Vermont College Of Medicine in 2003
NPI Data:
- NPI Number: 1811065584
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365698701
- Enrollment ID: I20120817000215
Medical Identifiers
Medical identifiers for Dr Kenneth W Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811065584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | D0068100 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | MD044841 (District Of Columbia) | Secondary |
| 207L00000X | Anesthesiology | MD17452 (Maine) | Secondary |
| 207L00000X | Anesthesiology | EC-05-170 (Maine) | Secondary |
| 207L00000X | Anesthesiology | 0101252186 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inova Cares - Community | 9537526330 | 180 |
| Inova Cares - Community | 9537526330 | 180 |
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. Dr Kenneth W Waters allows following entities to bill medicare on his behalf.
| Entity Name | Inova Cares - Community |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861131906
PECOS PAC ID: 9537526330
Enrollment ID: O20230620001611 |
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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. Dr Kenneth W 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 |
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Dr Kenneth W Waters, MD
8008 Westpark Drive, Mapmg Dept Of Anesthesia,
Mclean, VA 22102
Ph: (703) 489-1405 | Dr Kenneth W Waters, MD
Kaiser Permanente Tysons Corner Medical Center, 8008 Westpark Drive,
Mclean, VA 22102
Ph: (703) 489-1405 |
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