Dr Stanley Rudolph Watson, MD is a medicare enrolled "Family Medicine" physician in Four Oaks, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Raleigh Durham Medical Group Pa and his current practice location is
864 Black Creek Rd, Four Oaks, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 963-3148.
Dr Stanley Rudolph Watson is licensed to practice in North Carolina (license number 38490) 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 1164524005.
Physician's Profile
| Full Name | Dr Stanley Rudolph Watson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 864 Black Creek Rd, Four Oaks, North Carolina |
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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. |
Medical Education and Training:
- Dr Stanley Rudolph Watson attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1988
NPI Data:
- NPI Number: 1164524005
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234206020
- Enrollment ID: I20080919000468
Medical Identifiers
Medical identifiers for Dr Stanley Rudolph Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164524005 | NPI | - | NPPES |
| 8985994 | Medicaid | NC | |
| 080063193 | Other | NC | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 38490 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Raleigh Durham Medical Group Pa | 2365409588 | 57 |
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 Stanley Rudolph Watson allows following entities to bill medicare on his behalf.
| Entity Name | Raleigh Durham Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194828145 PECOS PAC ID: 2365409588 Enrollment ID: O20041220000155 |
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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 Stanley Rudolph 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 |
Dr Stanley Rudolph Watson, MD Po Box 96860, Charlotte, NC 28296-6860 Ph: (919) 359-1011 | Dr Stanley Rudolph Watson, MD 864 Black Creek Rd, Four Oaks, NC 27524-8314 Ph: (919) 963-3148 |
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