| Victoria Catherine Watters, MD | |
|
2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | |
| (989) 366-2900 | |
| (989) 366-1166 |
| Full Name | Victoria Catherine Watters |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 2585 W Houghton Lake Dr, Prudenville, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689163107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301114542 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Grayling Hospital | Grayling, MI | Hospital |
| Munson Healthcare Otsego Memorial Hospital | Gaylord, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Healthcare Grayling | 2062736655 | 55 |
| Munson Healthcare Otsego Memorial Hospital | 8325942535 | 78 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
| Entity Name | Munson Healthcare Grayling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Catherine Watters, MD 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 Ph: (989) 366-2900 | Victoria Catherine Watters, MD 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 Ph: (989) 366-2900 |
Dr. Victor Luis Dominguez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 | |
Dr. Nicholas William Blank, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 |