| Dr Stanley Rudolph Watson, MD | |
|
864 Black Creek Rd, Four Oaks, NC 27524-8314 | |
| (919) 963-3148 | |
| (919) 963-2900 |
| Full Name | Dr Stanley Rudolph Watson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 864 Black Creek Rd, Four Oaks, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164524005 | NPI | - | NPPES |
| 8985994 | Medicaid | NC | |
| 080063193 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38490 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 3hc | Goldsboro, NC | Home health agency |
| Kindred At Home | Goldsboro, NC | Home health agency |
| Community Home Care Of Vance County | Henderson, NC | Hospice |
| Johnston Health | Smithfield, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raleigh Durham Medical Group Pa | 2365409588 | 81 |
| Entity Name | Raleigh Durham Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194828145 PECOS PAC ID: 2365409588 Enrollment ID: O20041220000155 |
| 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 |
Monica Ann Selak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 864 Black Creek Rd, Four Oaks, NC 27524 Phone: 919-963-3148 Fax: 919-963-2900 | |
Olivia Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 864 Black Creek Rd, Four Oaks, NC 27524 Phone: 919-936-3148 Fax: 919-936-2900 |