Dr Russell Brandon Watters Iii, MD in Etowah, TN

Dr Russell Brandon Watters Iii, MD is a medicare enrolled "Internal Medicine" physician in Etowah, Tennessee. His current practice location is 301 Grady Rd, Etowah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 263-2444.

Dr Russell Brandon Watters Iii is licensed to practice in Tennessee (license number 023529) 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 1003872201.

Contact Information

	Dr Russell Brandon Watters Iii, MD
	301 Grady Rd, Etowah, TN 37331-1903
	(423) 263-2444
	(423) 263-1553

Map and Direction

Physician's Profile

Full Name	Dr Russell Brandon Watters Iii
Gender	Male
Speciality	Internal Medicine
Location	301 Grady Rd, Etowah, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003872201
Provider Enumeration Date: 04/25/2006
Last Update Date: 11/07/2007

Medicare PECOS Information:

PECOS PAC ID: 2668556523
Enrollment ID: I20100623000367

Medical Identifiers

Medical identifiers for Dr Russell Brandon Watters Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003872201	NPI	-	NPPES
2008341	Other	TN	BCBS
3069752	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	023529 (Tennessee)	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. Dr Russell Brandon Watters Iii allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

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 Russell Brandon Watters Iii 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 Russell Brandon Watters Iii, MD Po Box 325, Etowah, TN 37331-0325 Ph: (423) 263-2444	Dr Russell Brandon Watters Iii, MD 301 Grady Rd, Etowah, TN 37331-1903 Ph: (423) 263-2444

Reviews and Comments

Internal Medicine Doctors in Etowah, TN

Dr. Nathan Craig Trentham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Road, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553
Dr. Ghazali Ataullah Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Road, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553
Dr. Joel Craig Riley Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Rd, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553
Dr. Samuel John Olsen Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Grady Rd, Etowah, TN 37331 Phone: 423-263-2444 Fax: 423-263-1553

Dr Russell Brandon Watters Iii, MD - Medicare Internal Medicine in Etowah, TN