John Ward Watson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Carbondale, Illinois. He went to Wake Forest University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Southeastern Regional Physician Services and his current practice location is
305 W Jackson St, Suite 105, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 536-2565.
John Ward Watson is licensed to practice in Illinois (license number 036116328) 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 1871596726.
Physician's Profile
| Full Name | John Ward Watson |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 40 Years |
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| Location | 305 W Jackson St, Carbondale, Illinois |
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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:
- John Ward Watson attended and graduated from Wake Forest University School Of Medicine in 1984
NPI Data:
- NPI Number: 1871596726
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 07/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 6608820675
- Enrollment ID: I20230620000305
Medical Identifiers
Medical identifiers for John Ward Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871596726 | NPI | - | NPPES |
| 0361167328 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD071749L (Pennsylvania) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036116328 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeastern Regional Physician Services | 7012058548 | 32 |
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. John Ward Watson allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Regional Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427282045
PECOS PAC ID: 7012058548
Enrollment ID: O20100106000556 |
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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. John Ward 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 |
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John Ward Watson, MD
Po Box 1105,
Indianapolis, IN 46206-1105
Ph: (618) 457-5200 | John Ward Watson, MD
305 W Jackson St, Suite 105,
Carbondale, IL 62901-1474
Ph: (618) 536-2565 |
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