Keith H Waters, MD in Simpsonville, SC - Medicare Family Medicine

Keith H Waters, MD is a medicare enrolled "Family Medicine" physician in Simpsonville, South Carolina. His current practice location is 103 Fairview Pointe Drive, Simpsonville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 967-4982.

Keith H Waters is licensed to practice in South Carolina (license number 9105) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205863107.

Contact Information

	Keith H Waters, MD
	103 Fairview Pointe Drive, Simpsonville, SC 29681
	(864) 967-4982
	(864) 967-8465

Map and Direction

Physician's Profile

Full Name	Keith H Waters
Gender	Male
Speciality	Family Medicine
Location	103 Fairview Pointe Drive, Simpsonville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205863107
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123399151
Enrollment ID: I20170809000884

Medical Identifiers

Medical identifiers for Keith H Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205863107	NPI	-	NPPES
GP0435	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9105 (South Carolina)	Primary

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. Keith H Waters allows following entities to bill medicare on his behalf.

Entity Name	Pain And Spine Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184946352 PECOS PAC ID: 0345375713 Enrollment ID: O20100324000512

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. Keith H 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
Keith H Waters, MD Po Box 887, Simpsonville, SC 29681 Ph: (864) 967-4982	Keith H Waters, MD 103 Fairview Pointe Drive, Simpsonville, SC 29681 Ph: (864) 967-4982

Reviews and Comments

Family Medicine Doctors in Simpsonville, SC

William J Taylor Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091 Fax: 864-297-6335
James Marion Taylor Ii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029
Jennifer T Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405
Katherine Therese Lewis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 Se Main St, Simpsonville, SC 29681 Phone: 864-522-5400 Fax: 864-522-5405
Dr. Mark Timothy White, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1338 Highway 14, Simpsonville, SC 29681 Phone: 864-297-7091
Jessica Anne Masocol, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Scuffletown Rd, Simpsonville, SC 29681 Phone: 864-329-0029
James W Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 W Georgia Rd Ste B, Simpsonville, SC 29680 Phone: 864-454-5000

Keith H Waters, MD - Medicare Family Medicine in Simpsonville, SC