Dr Richard Lee Watson Jr, MD is a medicare enrolled "Emergency Medicine" physician in Andover, Kansas. His current practice location is
1124 W 21st St, Andover, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 242-7865.
Dr Richard Lee Watson Jr is licensed to practice in Kansas (license number 21486) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851466171.
Physician's Profile
| Full Name | Dr Richard Lee Watson Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1124 W 21st St, Andover, Kansas |
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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: 1851466171
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264440155
- Enrollment ID: I20170621001234
Medical Identifiers
Medical identifiers for Dr Richard Lee Watson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851466171 | NPI | - | NPPES |
| 100208970A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 21486 (Kansas) | Primary |
| 207Q00000X | Family Medicine | B21486 (Kansas) | Secondary |
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 Richard Lee Watson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Nes Washington, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215239595
PECOS PAC ID: 5193994879
Enrollment ID: O20110815000475 |
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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 Richard Lee Watson Jr 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 |
|---|
Dr Richard Lee Watson Jr, MD
5331 N Highland St,
Ruston, WA 98407-3210
Ph: (620) 242-7865 | Dr Richard Lee Watson Jr, MD
1124 W 21st St,
Andover, KS 67002-5500
Ph: (620) 242-7865 |
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