Lori Ann Watt, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ofallon, Missouri. Her current practice location is
3002 State Hwy K, Ofallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Lori Ann Watt is licensed to practice in Missouri (license number 2018013353) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962718437.
Provider's Profile
| Full Name | Lori Ann Watt |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3002 State Hwy K, Ofallon, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962718437
- Provider Enumeration Date: 08/23/2010
- Last Update Date: 07/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 1557548567
- Enrollment ID: I20180803000174
Medical Identifiers
Medical identifiers for Lori Ann Watt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962718437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209008310 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2018013353 (Missouri) | 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. Lori Ann Watt allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
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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. Lori Ann Watt 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 |
Lori Ann Watt, FNP 3002 State Hwy K, Ofallon, MO 63368 Ph: (866) 389-2727 | Lori Ann Watt, FNP 3002 State Hwy K, Ofallon, MO 63368 Ph: (866) 389-2727 |
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