Dr Walter Edwin Watts Iv, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Bolivar, Missouri. He went to University Of Oklahoma College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Central Care Pa, Central Care Pa and his current practice location is
1501 N Oakland Ave, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 326-7200.
Dr Walter Edwin Watts Iv is licensed to practice in Missouri (license number 2015038139) 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 1174784540.
Physician's Profile
| Full Name | Dr Walter Edwin Watts Iv |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 16 Years |
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| Location | 1501 N Oakland Ave, Bolivar, Missouri |
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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 Walter Edwin Watts Iv attended and graduated from University Of Oklahoma College Of Medicine in 2008
NPI Data:
- NPI Number: 1174784540
- Provider Enumeration Date: 06/18/2008
- Last Update Date: 06/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668613951
- Enrollment ID: I20210609001621
Medical Identifiers
Medical identifiers for Dr Walter Edwin Watts Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174784540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 27100 (Oklahoma) | Secondary |
| 2085R0203X | Radiology - Therapeutic Radiology | 27100 (Oklahoma) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 2015038139 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Care Pa | 7911801014 | 15 |
| Central Care Pa | 7911801014 | 15 |
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 Walter Edwin Watts Iv allows following entities to bill medicare on his behalf.
| Entity Name | Central Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578532081
PECOS PAC ID: 7911801014
Enrollment ID: O20050720000009 |
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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 Walter Edwin Watts Iv 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 Walter Edwin Watts Iv, MD
1501 N Oakland Ave,
Bolivar, MO 65613-3020
Ph: (417) 326-7200 | Dr Walter Edwin Watts Iv, MD
1501 N Oakland Ave,
Bolivar, MO 65613-3020
Ph: (417) 326-7200 |
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