| Jerome Thomas Watson, MD | |
|
293 Old Mocksville Rd, Statesville, NC 28625-1930 | |
| (704) 872-8711 | |
| (704) 872-5866 |
| Full Name | Jerome Thomas Watson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 32 Years |
| Location | 293 Old Mocksville Rd, Statesville, 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 |
|---|---|---|---|
| 1336144138 | NPI | - | NPPES |
| 891129M | Medicaid | NC | |
| 498003002 | Other | NC | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 9800413 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Specialty Care, Pa | 8729989173 | 5 |
| Entity Name | Carolina Specialty Care, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596439 PECOS PAC ID: 8729989173 Enrollment ID: O20100726000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Thomas Watson, MD 766 Hartness Rd Ste B, Statesville, NC 28677-3485 Ph: (704) 873-5667 | Jerome Thomas Watson, MD 293 Old Mocksville Rd, Statesville, NC 28625-1930 Ph: (704) 872-8711 |
Jacqueline Ellen Zinn, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 523 Brookdale Dr, Statesville, NC 28677 Phone: 704-978-3560 | |
Robert E Theiss, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 766 Hartness Rd Ste A, Statesville, NC 28677 Phone: 704-360-4378 Fax: 704-696-8150 | |
James P Murphy, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1404 Fern Creek Drive, Statesville, NC 28625 Phone: 704-978-4025 |