Heather Elizabeth Waters, DO is a medicare enrolled "Family Medicine" physician in Lumberton, Mississippi. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeast Mississippi Rural Health Initiative, Inc, Southeast Mississippi Rural Health Initiative, Inc and her current practice location is
596 W 11th Ave, Lumberton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 596-4215.
Heather Elizabeth Waters is licensed to practice in Mississippi (license number 21796) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700197977.
Physician's Profile
| Full Name | Heather Elizabeth Waters |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 596 W 11th Ave, Lumberton, Mississippi |
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| Accepts Medicare Assignments | Yes. She 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:
- Heather Elizabeth Waters graduated from medical school in 2010
NPI Data:
- NPI Number: 1700197977
- Provider Enumeration Date: 06/23/2010
- Last Update Date: 11/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426295296
- Enrollment ID: I20171205001684
Medical Identifiers
Medical identifiers for Heather Elizabeth Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700197977 | NPI | - | NPPES |
| 21796 | Other | | MS MEDICAL LICENSE |
| 008504826 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 21796 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
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. Heather Elizabeth Waters allows following entities to bill medicare on her behalf.
| Entity Name | Santa Rosa Hma Physician Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447365366
PECOS PAC ID: 1658478532
Enrollment ID: O20070823000556 |
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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. Heather Elizabeth Waters 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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Heather Elizabeth Waters, DO
Po Box 1729,
Hattiesburg, MS 39403-1729
Ph: (601) 545-8700 | Heather Elizabeth Waters, DO
596 W 11th Ave,
Lumberton, MS 39455-2350
Ph: (601) 596-4215 |
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